Arthroscopic Release of the Glenohumeral Joint in Shoulder Stiffness: A Review of 26 Cases

Beaufils, Philippe; Prévot, N; Boyer, T.; Allard, M.; Dorfmann, H; Frank, André Günder; Kelberine, F; Kempf, Jean-François; Molé, Daniel; Walch, Gilles

doi:10.1053/ar.1999.v15.0150041

Cited by 72 publications

(55 citation statements)

References 24 publications

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“…Our results show it clearly. Other authors have come to similar results and have written about [14][15][16]. In our prospective study the patients who were suffering from post-traumatic contracture have recovered more rapidly and have achieved a better final result regarding mobility and their satisfaction even though the result was not statistically significant.…”

Section: Discussionmentioning

confidence: 51%

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Tršek¹,

Čičak²,

Žunac³

et al. 2014

International Orthopaedics (SICOT)

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Purpose The purpose of this prospective study was to compare the functional results and patient satisfaction after arthroscopic shoulder capsular release in patients with idiopathic and posttraumatic stiff shoulder. Methods The study included 50 patients who underwent arthroscopic capsular release after failure of conservative treatment. The etiology of stiffness was either idiopathic (25 patients) or post-traumatic (25 patients). There were 28 women and 22 men with an average age of 49 years (range, 32-70 years). All patients were treated with physical therapy for a mean of six months (range, 3-12 months) before surgery. Range of motion was measured three times: 48 hours after surgery, then one month and six months after surgery. Results Constant score showed improvement for both groups of patients in the period of six months after surgery. In the group with idiopathic stiffness the score increased from 36 to 86, while in the group with post-traumatic stiff shoulder the score advanced from 32 to 91. The idiopathic stiff shoulder group had an improved active forward flexion from 90 to 161°, external rotation from 10 to 40°, and internal rotation from L5 to L1. In the post-traumatic stiff shoulder groupthe forward flexion was improved from 95 to 170°, external rotation from 13 to 40°and internal rotation from L4 to L1. Conclusion There was an improvement of range of motions and patients' satisfaction after arthroscopic shoulder capsular release and manipulation under anesthesia, equally in idiopathic and post-traumatic stiff shoulder, compared to the situation before surgery. Post-traumatic contracture patients expressed higher level of satisfaction with their shoulder function than the idiopathic stiff shoulder patients.

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Section: Discussionmentioning

confidence: 51%

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Tršek¹,

Čičak²,

Žunac³

et al. 2014

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Beaufils et al [3] presented the results of a retrospective multicenter study of the French Society for Arthroscopy. They documented 26 shoulders in 25 patients (19 women and 6 men).…”

Section: Discussionmentioning

confidence: 99%

360° arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint – indication, surgical technique, results

Jerosch

2001

Knee Surg Sports Traumatol Art

125

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Adhesive capsulitis of the glenohumeral joint is said to be a self-limiting process. However, in some patients the disease can last much longer than 1 year, which may lead patients to more invasive treatment than merely undergoing physiotherapy. Other patients do not accept this severe limitation and choose treatment options that restore the range of motion (ROM) more rapidly. Conventional open release techniques generally improve motion but involve extensive dissection. The purpose of this study was to develop a safe and reproducible technique of arthroscopic capsular release (ACR) and to present the results of this technique in the clinical situation. The technique for ACR was first defined in a cadaver study and then applied in 28 patients with primary adhesive capsulitis of the glenohumeral joint. The patients were selected for the arthroscopic release when conservative therapy had failed for at least 6 months. All of the patients had a global loss of shoulder motion and had motion restored with a combined anterior, posterior, superior, and inferior release of the of the capsule (360 degrees release). Additionally, in all patients synovectomy with electrocautery was performed. We documented the ROM in the different planes as well as the Constant score. The Constant score improved a mean of 41 points. Range of motion for all planes significantly improved (P < 0.01). Abduction improved from 75 degrees preoperatively to 165 degrees intraoperatively; 6 weeks after surgery, mean abduction was 168 degrees and at the time of follow-up it was 167 degrees. Mean external rotation in adduction improved from 3 degrees preoperatively to 75 degrees intraoperatively. After 6 weeks, the mean external rotation in adduction was 72 degrees and at the time of follow-up the external rotation reached 76 degrees. Mean external rotation in abduction improved from 4 degrees preoperatively to 81 degrees intraoperatively, 80 degrees after 6 weeks and 85 degrees at the time of the last follow-up. Internal rotation in abduction was 17 degrees preoperatively. Intraoperatively, mean internal rotation was 59 degrees. An angle of 58 degrees was documented at 6 weeks follow-up, and at the last follow-up an angle of 63 degrees was documented. No postoperative lesion of the axillary nerve was present. We concluded that arthroscopic capsular release is a reliable method for restoring motion with minimum morbidity in carefully selected patients. When performing an ACR the incision of the glenohumeral joint capsule should be undertaken at the glenoidal insertion in the abducted and external rotated shoulder.

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“…The mean improvement in the Constant score was 48 points (13 to 77) with a significant improvement in the range of movement. Beaufils et al 89 in a French multicentre study, reviewed 26 patients after arthroscopic release of the capsule at the glenoid rim at a mean follow-up of 21 months. Although 69% were either very satisfied or satisfied, they concluded that there was no reduction in the time to recovery.…”

Section: Management Of Frozen Shouldermentioning

confidence: 99%

The Role of Surgery in Frozen Shoulder

Chambler

Carr

2003

The Journal of Bone and Joint Surgery. British volume

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Arthroscopic Release of the Glenohumeral Joint in Shoulder Stiffness: A Review of 26 Cases

Cited by 72 publications

References 24 publications

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

360° arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint – indication, surgical technique, results

The Role of Surgery in Frozen Shoulder

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