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Percutaneous Capsule Release in Adhesive Capsulitis with Nanoscope under Local Anesthesia - Case Report
Hari Krishna Yadoji1, Chandrasekhar Bodanki1, Sama Anoop Reddy1
1Department of Arthroscopy and Shoulder Surgery, Sunshine Hospital, Secunderabad, Telangana, India.
Introduction:
Adhesive capsulitis or frozen shoulder is a painful condition. With advent of newer and newer technology, minimally invasive surgeries are being tried in all kinds of surgeries. Nanoscope is one such invention that lead to the idea of percutaneous arthroscopy. The aim of this case report is to emphasize the role of nanoscope under local anesthesia in treatment of adhesive capsulitis.
Case Report:
A 45-year-old male presented with a history of restricted movements in the right shoulder for 1 year. On clinical examination, rotator cuff strength was under normal limits, his forward elevation was 100°, lateral elavation was 90°, external rotation - 45°, abduction external rotation 30°, and abduction internal rotation 40°. X-ray shoulder was normal. MRI shoulder was showing features of adhesive capsulitis.
Conclusion:
Percutaneous arthroscopic capsular release with nanoscope under local anesthesia is a safe and cost-effective procedure. With minimal infrastructure, it can be developed into an outpatient procedure. The advantages of this percutaneous technique over conventional arthroscopic release needs further studies.
