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Arthroscopic capsular release for posttraumatic shoulder stiffness

Levy, O, Webb, M, Even, T, Venkateswaran, B, Funk, L and Copeland, S 2008, 'Arthroscopic capsular release for posttraumatic shoulder stiffness' , Journal of Shoulder and Elbow Surgery, 17 (3) , pp. 410-414.

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    Abstract

    Severe pain and shoulder stiffness after soft tissue trauma or fracture is a major cause of dysfunction. Some patients may have residual, resistant, significant shoulder stiffness that causes long-term functional impairment. This study reports the results of arthroscopic capsular release in 21 patients who presented with posttraumatic stiff shoulders resistant to nonoperative therapy. They underwent arthroscopic circumferential capsular and subacromial release of adhesions under interscalene block, followed with immediate regular physiotherapy. A highly significant improvement in the range of motion (ROM) was achieved immediately postoperatively (P <.0001). At 6 months, a mean 48% of the ROM gain was lost. Thereafter, ROM steadily improved to a mean net gain of 110% compared with the immediate postoperative time (mean follow-up, 33 months). Most patients (95%) expressed satisfaction with their outcome. Arthroscopic capsular release is a useful treatment for resistant posttraumatic stiff shoulder, particularly to alleviate of pain and restore a functional ROM.

    Item Type: Article
    Themes: Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
    Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Health Sciences
    Journal or Publication Title: Journal of Shoulder and Elbow Surgery
    Publisher: Elsevier
    Refereed: Yes
    ISSN: 1058-2746
    Depositing User: RH Shuttleworth
    Date Deposited: 08 Jun 2011 11:13
    Last Modified: 20 Aug 2013 17:53
    URI: http://usir.salford.ac.uk/id/eprint/15961

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