Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Arthroscopic release in adhesive capsulitis of the shoulder: a retrospective study with 2 to 6 years of follow-up

  • Mardani-Kivi, Mohsen (Orthopedic Research Center, Department of Orthopedics, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences) ;
  • Hashemi-Motlagh, Keyvan (Guilan Road Trauma Research Center, School of Medicine, Guilan University of Medical Sciences) ;
  • Darabipour, Zohre (Department of Orthopedics, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences)
  • Received : 2021.05.22
  • Accepted : 2021.07.26
  • Published : 2021.09.01
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Abstract

Background: This study aimed to evaluate the response rate to arthroscopic release treatment in adhesive capsulitis of the shoulder (ACS) for patients with refractory to conservative treatment. Methods: In this retrospective study, 51 patients (age mean, 49.1±5.6 years) with unilateral adherent capsule underwent arthroscopic releasing surgery for the shoulder capsule. Etiologies of the ACS in 30 patients were idiopathic: 10 patients were affected after surgery and 11 patients following trauma. The patients were evaluated in terms of shoulder function, satisfaction rate, pain intensity, and joint range of motion (ROM) based on a Constant score, a Simple Shoulder Test, the visual analog scale, and four movements, respectively. Results: The mean Constant score before surgery was 48.2±3.5 and reached 74.4±6 and 77.0±6.3 at 6 months and the final follow-up, respectively (p<0.001). The mean scores of pain intensity, a Simple Shoulder Test, and ROM showed significant improvement at all follow-ups (p<0.001). Sex, age, and diabetes did not have any significant effect on patient recovery. However, patients who experienced ACS after surgery had poorer results than others at all follow-up points. Conclusions: Arthroscopic releasing surgery of the shoulder in patients with ACS refractory to conservative treatment produces rare complications and an effective injury response. It seems that patients suffering ACS following surgery have a weaker response to the treatment.

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References

  1. Barnes CP, Lam PH, Murrell GA. Short-term outcomes after arthroscopic capsular release for adhesive capsulitis. J Shoulder Elbow Surg 2016;25:e256-64. https://doi.org/10.1016/j.jse.2015.12.025
  2. Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Curr Rev Musculoskelet Med 2008;1:180-9. https://doi.org/10.1007/s12178-008-9031-6
  3. Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow 2017;9:75-84. https://doi.org/10.1177/1758573216676786
  4. Neviaser JS. Adhesive capsulitis of the shoulder: a study of the pathological findings in periarthritis of the shoulder. JBJS 1945;27:211-22.
  5. Fernandes MR. Arthroscopic treatment of adhesive capsulitis of the shoulder with minimum follow up of six years. Acta Ortop Bras 2015;23:85-9. https://doi.org/10.1590/1413-78522015230200613
  6. Miyazaki AN, Santos PD, Silva LA, Sella GD, Carrenho L, Checchia SL. Clinical evaluation of arthroscopic treatment of shoulder adhesive capsulitis. Rev Bras Ortop 2016;52:61-8.
  7. Hsu JE, Anakwenze OA, Warrender WJ, Abboud JA. Current review of adhesive capsulitis. J Shoulder Elbow Surg 2011;20: 502-14. https://doi.org/10.1016/j.jse.2010.08.023
  8. Wong CK, Levine WN, Deo K, et al. Natural history of frozen shoulder: fact or fiction? A systematic review. Physiotherapy 2017;103:40-7. https://doi.org/10.1016/j.physio.2016.05.009
  9. Jenkins EF, Thomas WJ, Corcoran JP, et al. The outcome of manipulation under general anesthesia for the management of frozen shoulder in patients with diabetes mellitus. J Shoulder Elbow Surg 2012;21:1492-8. https://doi.org/10.1016/j.jse.2011.11.006
  10. Wang JP, Huang TF, Ma HL, Hung SC, Chen TH, Liu CL. Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus. Int Orthop 2010;34:1227-32. https://doi.org/10.1007/s00264-010-0968-x
  11. Levine WN, Kashyap CP, Bak SF, Ahmad CS, Blaine TA, Bigliani LU. Nonoperative management of idiopathic adhesive capsulitis. J Shoulder Elbow Surg 2007;16:569-73. https://doi.org/10.1016/j.jse.2006.12.007
  12. Tasto JP, Elias DW. Adhesive capsulitis. Sports Med Arthrosc Rev 2007;15:216-21. https://doi.org/10.1097/JSA.0b013e3181595c22
  13. Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg 2005;14:16-21. https://doi.org/10.1016/j.jse.2004.04.004
  14. Magnussen RA, Taylor DC. Glenoid fracture during manipulation under anesthesia for adhesive capsulitis: a case report. J Shoulder Elbow Surg 2011;20:e23-6. https://doi.org/10.1016/j.jse.2010.11.024
  15. Lafosse L, Boyle S, Kordasiewicz B, Aranberri-Gutierrez M, Fritsch B, Meller R. Arthroscopic arthrolysis for recalcitrant frozen shoulder: a lateral approach. Arthroscopy 2012;28:916-23. https://doi.org/10.1016/j.arthro.2011.12.014
  16. Robinson CM, Seah KT, Chee YH, Hindle P, Murray IR. Frozen shoulder. J Bone Joint Surg Br 2012;94:1-9.
  17. Jerosch J, Aldawoudy AM. Chondrolysis of the glenohumeral joint following arthroscopic capsular release for adhesive capsulitis: a case report. Knee Surg Sports Traumatol Arthrosc 2007; 15:292-4. https://doi.org/10.1007/s00167-006-0112-z
  18. Jerosch J, Filler TJ, Peuker ET. Which joint position puts the axillary nerve at lowest risk when performing arthroscopic capsular release in patients with adhesive capsulitis of the shoulder. Knee Surg Sports Traumatol Arthrosc 2002;10:126-9. https://doi.org/10.1007/s00167-001-0270-y
  19. Bulgen DY, Binder AI, Hazleman BL, Dutton J, Roberts S. Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens. Ann Rheum Dis 1984;43:353-60. https://doi.org/10.1136/ard.43.3.353
  20. Rouhani A, Mardani-Kivi M, Bazavar M, et al. Calcitonin effects on shoulder adhesive capsulitis. Eur J Orthop Surg Traumatol 2016;26:575-80. https://doi.org/10.1007/s00590-016-1816-5
  21. Jerosch J, Nasef NM, Peters O, Mansour AM. Mid-term results following arthroscopic capsular release in patients with primary and secondary adhesive shoulder capsulitis. Knee Surg Sports Traumatol Arthrosc 2013;21:1195-202. https://doi.org/10.1007/s00167-012-2124-1
  22. Ranalletta M, Rossi LA, Zaidenberg EE, et al. Midterm outcomes after arthroscopic anteroinferior capsular release for the treatment of idiophatic adhesive capsulitis. Arthroscopy 2017; 33:503-8. https://doi.org/10.1016/j.arthro.2016.08.024
  23. Segmuller HE, Taylor DE, Hogan CS, Saies AD, Hayes MG. Arthroscopic treatment of adhesive capsulitis. J Shoulder Elbow Surg 1995;4:403-8. https://doi.org/10.1016/S1058-2746(05)80030-8
  24. Le Lievre HM, Murrell GA. Long-term outcomes after arthroscopic capsular release for idiopathic adhesive capsulitis. J Bone Joint Surg Am 2012;94:1208-16. https://doi.org/10.2106/JBJS.J.00952
  25. Neer CS 2nd, Satterlee CC, Dalsey RM, Flatow EL. The anatomy and potential effects of contracture of the coracohumeral ligament. Clin Orthop Relat Res 1992;(280):182-5.
  26. Cohen M, Amaral MV, Brandao BL, Pereira MR, Monteiro M, Filho GD. Assessment of the results from arthroscopic surgical treatment of adhesive capsulitis. Rev Bras Ortop 2013;48:272-7. https://doi.org/10.1016/j.rbo.2012.08.004
  27. Berghs BM, Sole-Molins X, Bunker TD. Arthroscopic release of adhesive capsulitis. J Shoulder Elbow Surg 2004;13:180-5. https://doi.org/10.1016/j.jse.2003.12.004
  28. Itoi E, Arce G, Bain GI, et al. Shoulder stiffness: current concepts and concerns. Arthroscopy 2016;32:1402-14. https://doi.org/10.1016/j.arthro.2016.03.024
  29. 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;74:53-66. https://doi.org/10.2106/00004623-199274010-00008
  30. Theodorides AA, Owen JM, Sayers AE, Woods DA. Factors affecting short- and long-term outcomes of manipulation under anaesthesia in patients with adhesive capsulitis of the shoulder. Shoulder Elbow 2014;6:245-56. https://doi.org/10.1177/1758573214528155