Arthroscopic Capsular Release for Idiopathic Adhesive Capsulitis.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 30881733.
- Also identified by DOI 10.2106/JBJS.ST.L.00024 and PMC identifier 6407944.
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Abstract
Our technique of arthroscopic capsular release involving two posterior portals and one anterior portal, to accomplish a complete 360° release, improves motion and reduces pain in patients with idiopathic adhesive capsulitis. Place the patient in a beach-chair position for shoulder joint arthroscopy. Use a routine posterior glenohumeral arthroscopy portal to introduce the arthroscope. Establish the anterior portal under direct vision using a spinal needle. Release the rotator cuff interval, dividing no more than the upper half of the intra-articular subscapularis tendon. Cut the anterior-inferior aspect of the capsule completely. Determine the location of the posterior-inferior portal with a spinal needle. Release or perforate the posterior-inferior capsule of the joint with the arthroscopic wand. Manipulate the arm in abduction, then forward and backward flexion, and then external and internal rotation. An arthroscopic capsular release with use of the technique described here was performed in forty-nine shoulders in forty-three patients with idiopathic adhesive capsulitis<sup>4</sup>. IndicationsContraindicationsPitfalls & Challenges.