Posterior arthroscopic capsular release in frozen shoulder

Snow, M, Boutros, I and Funk, L 2009, 'Posterior arthroscopic capsular release in frozen shoulder' , Arthroscopy: The Journal of Arthroscopic & Related Surgery, 25 (1) , pp. 19-23.

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Purpose: the aims of our study were to assess the overall effectiveness of arthroscopic capsular release and to determine if the addition of a posterior capsular release had any benefit, particularly in relation to internal rotation. Methods: forty-eight consecutive patients with primary or secondary frozen shoulder in whom conservative physiotherapy had failed were included in the study. Arthroscopic capsular release was performed in all cases. Group 1 had an anterior and inferior release only; group 2 included a posterior release. All data were collected prospectively. Constant–Murley functional scores were used to assess outcome. Overall satisfaction and patient reported outcomes were also measured. Results: the mean patient age was 51 years (range, 28 to 65 years), with no difference between the 2 groups. There were 27 patients in group 1 and 21 patients in group 2. The mean follow-up was 5 months. Etiology of the frozen shoulder was primary (22), diabetic (7), post-traumatic (7), and postoperative (11). Overall across both groups, there was a highly significant improvement in Constant score (P < .001) postoperatively. A similar pattern was noted in the range of motion (P < .001). The mean satisfaction score was 7 of 10 postoperatively. The patients reported overall outcome as much better (24), better (15), the same (1), and worse (4). There was no significant difference in Constant score between the 2 groups, and no significant difference in the improvement of the range of motion, in particular internal rotation. Conclusions: we have shown an overall rapid significant improvement following arthroscopic capsular release for primary and secondary frozen shoulder. There was no significant difference in the overall outcome with the addition of a posterior release.

Item Type: Article
Themes: Health and Wellbeing
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title: Arthroscopy: The Journal of Arthroscopic & Related Surgery
Publisher: Elsevier
Refereed: Yes
ISSN: 07498063
Depositing User: RH Shuttleworth
Date Deposited: 08 Jun 2011 12:10
Last Modified: 27 Aug 2021 22:38

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