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http://dx.doi.org/10.5397/cise.2015.18.1.28

Is Pancapsular Release More Effective than Selective Capsular Release for the Treatment of Adhesive Capsulitis?  

Moon, Nam Hoon (Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital)
Lee, Seung-Jun (Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital)
Shin, Won Chul (Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital)
Lee, Sang Min (Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital)
Suh, Kuen Tak (Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital)
Publication Information
Clinics in Shoulder and Elbow / v.18, no.1, 2015 , pp. 28-35 More about this Journal
Abstract
Background: We assessed the effectiveness of arthroscopic capsular release for the treatment of adhesive capsulitis. Further, we tried to ascertain the clinical benefits, if any, of pancapsular release over selective capsular release, where the two differ by performing or not performing a posterior capsular release, respectively. Methods: Thirty-five consecutive patients with either primary or secondary adhesive capsulitis who failed conservative treatment for more than 6 months were enrolled in the study. A total of 16 patients allocated in group 1 received a pancapsular release that comprises the release of the rotator interval, anteroinferior capsular, and the posterior capsular release, whereas 19 patients in group 2 received a selective capsular release that comprises only the release of the rotator interval release and anteroinferior capsular release. The clinical outcomes, visual analogue scale (VAS) score, Constant score, and range of motion, were assessed preoperative and postoperatively. Results: In both groups, the preoperative VAS score, Constant score, and ROM showed a significant improvement by the 6-month follow-up. We found that the immediate postoperative internal rotation was significantly higher in group 1 than group 2. Despite significant differences seen between the two groups at the initial postoperative period, there were no significant differences in Constant score, VAS score, and the ROM at all the subsequent follow-ups between the two groups. Conclusions: Arthroscopic capsular release for the treatment of adhesive capsulitis is very effective. However, pancapsular release did not show any advantage over selective capsular release in terms of overall clinical outcome.
Keywords
Adhesive capsulitis; Pancapsular release; Selective capsular release;
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1 Warner JJ, Allen A, Marks PH, Wong P. Arthroscopic release for chronic, refractory adhesive capsulitis of the shoulder. J Bone Joint Surg Am. 1996;78(12):1808-16.
2 Nicholson GP. Arthroscopic capsular release for stiff shoulders: effect of etiology on outcomes. Arthroscopy. 2003;19(1):40-9.   DOI
3 Ide J, Takagi K. Early and long-term results of arthroscopic treatment for shoulder stiffness. J Shoulder Elbow Surg. 2004; 13(2):174-9.   DOI   ScienceOn
4 Jerosch J. 360 degrees arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint--indication, surgical technique, results. Knee Surg Sports Traumatol Arthrosc. 2001;9(3):178-86.   DOI   ScienceOn
5 Snow M, Boutros I, Funk L. Posterior arthroscopic capsular release in frozen shoulder. Arthroscopy. 2009;25(1):19-23.   DOI   ScienceOn
6 Kim YS, Lee HJ, Park IJ. Clinical outcomes do not support arthroscopic posterior capsular release in addition to anterior release for shoulder stiffness: a randomized controlled study. Am J Sports Med. 2014;42(5):1143-9.   DOI   ScienceOn
7 Pearsall AW, Speer KP. Frozen shoulder syndrome: diagnostic and treatment strategies in the primary care setting. Med Sci Sports Exerc. 1998;30(4 Suppl):S33-9.
8 Noel E, Thomas T, Schaeverbeke T, Thomas P, Bonjean M, Revel M. Frozen shoulder. Joint Bone Spine. 2000;67(5):393-400.
9 Codman EA. The shoulder: rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Boston, MA: T Todd Company; 1934.
10 Neviaser JS. Adhesive capsulitis of the shoulder. J Bone Joint Surg Am. 1945;27(2):211-22.
11 Rodeo SA, Hannafin JA, Tom J, Warren RF, Wickiewicz TL. Immunolocalization of cytokines and their receptors in adhesive capsulitis of the shoulder. J Orthop Res. 1997;15(3):427-36.   DOI   ScienceOn
12 Bulgen DY, Binder A, Hazleman BL, Park JR. Immunological studies in frozen shoulder. J Rheumatol. 1982;9(6):893-8.
13 Rizk TE, Pinals RS. Histocompatibility type and racial incidence in frozen shoulder. Arch Phys Med Rehabil. 1984;65(1):33-4.
14 Ozaki J, Nakagawa Y, Sakurai G, Tamai S. Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J Bone Joint Surg Am. 1989;71(10):1511-5.
15 Pollock RG, Duralde XA, Flatow EL, Bigliani LU. The use of arthroscopy in the treatment of resistant frozen shoulder. Clin Orthop Relat Res. 1994;(304):30-6.
16 Watson L, Dalziel R, Story I. Frozen shoulder: a 12-month clinical outcome trial. J Shoulder Elbow Surg. 2000;9(1):16-22.   DOI   ScienceOn
17 Bowen MK, Warren RF. Ligamentous control of shoulder stability based on selective cutting and static translation experiments. Clin Sports Med. 1991;10(4):757-82.
18 Harryman DT 2nd, Sidles JA, Harris SL, Matsen FA 3rd. The role of the rotator interval capsule in passive motion and stability of the shoulder. J Bone Joint Surg Am. 1992;74(1):53-66.
19 Ovesen J, Nielsen S. Anterior and posterior shoulder instability. A cadaver study. Acta Orthop Scand. 1986;57(4):324-7.   DOI
20 Chen J, Chen S, Li Y, Hua Y, Li H. Is the extended release of the inferior glenohumeral ligament necessary for frozen shoulder? Arthroscopy. 2010;26(4):529-35.   DOI   ScienceOn
21 Hannafin JA, Chiaia TA. Adhesive capsulitis. A treatment approach. Clin Orthop Relat Res. 2000;(372):95-109.
22 Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am. 1992;74(5):738-46.
23 Harryman DT 2nd. Shoulders: frozen and stiff. In: The American Academy of Orthopedic Surgeons, eds. Instructional course lectures. Vol. 42. Rosemont, IL: The American Academy of Orthopedic Surgeons; 1993. 247-57.
24 Uitvlugt G, Detrisac DA, Johnson LL, Austin MD, Johnson C. Arthroscopic observations before and after manipulation of frozen shoulder. Arthroscopy. 1993;9(2):181-5.   DOI   ScienceOn
25 Wiley AM. Arthroscopic appearance of frozen shoulder. Arthroscopy. 1991;7(2):138-43.   DOI   ScienceOn