Letter to the Editor: “Technique with Validation of Sonographically Guided Percutaneous Interruption of the Coracohumeral Ligament for Adhesive Capsulitis”

Pain Medicine ◽  
2020 ◽  
Vol 21 (12) ◽  
pp. 3718-3720
Author(s):  
Sandeep Yerra ◽  
Amitabh Gulati ◽  
Sayed Wahezi
Keyword(s):  
Adhesive Capsulitis ◽  
Coracohumeral Ligament ◽  
Letter To The Editor

Adhesive Capsulitis of the Shoulder: Ultrasonography and Elastography Evaluation of the Coracohumeral Ligament

2011 ◽  
Vol 37 (8) ◽  
pp. S140 ◽  
Author(s):  
H.H.C. Lan ◽  
S. Lee ◽  
C.Y. Keng ◽  
P.Y. Chang ◽  
C.C. Chen
Keyword(s):  
Adhesive Capsulitis ◽  
Coracohumeral Ligament

Sonographically Guided Percutaneous Sectioning of the Coracohumeral Ligament for the Treatment of Refractory Adhesive Capsulitis: Proof of Concept

Pain Medicine ◽  
2020 ◽  
Vol 21 (12) ◽  
pp. 3314-3319 ◽  
Author(s):  
Sayed Wahezi ◽  
Sandeep Yerra ◽  
Yulia Rivelis ◽  
Kishan Sitapara ◽  
David Gonzalez ◽  
...  
Keyword(s):  
Adhesive Capsulitis ◽  
Care Center ◽  
Treatment Options ◽  
Tertiary Care ◽  
Surrounding Tissue ◽  
Proof Of Concept ◽  
Ultrasonic Probe ◽  
Coracohumeral Ligament ◽  
Percutaneous Tenotomy ◽  
Number Of Passes

Abstract Introduction Treatment options are limited for nonsurgical chronic refractory cases of adhesive capsulitis. We describe a novel percutaneous tenotomy technique for coracohumeral ligament interruption with cadaveric validation. Objective The objective of this study was to describe and validate a novel technique for percutaneous interruption of the coracohumeral ligament. Design Cadaveric study. Setting Academic tertiary care center. Methods Eight cadavers underwent ultrasound (US)-guided percutaneous incision of the coracohumeral (CHL) ligament. Performance of the procedure requires that the practitioner make oscillatory motions with a needle that uses ultrasound energy to cut through tissue. Each pass removes a pinhead-sized amount of tissue. The number of passes and the cutting time are recorded during the procedure. As a standard for this procedure does not exist, the authors created their own based on the preclinical information presented here. Postprocedure dissection was performed to assess the extent of CHL interruption and injury to surrounding tissue. Results The average resection time was seven minutes, requiring 500 passes. The technique described in this paper completely interrupted the CHL in all subjects. Cadaveric analysis demonstrated interruption of the CHL with respect to control shoulders requiring an average of seven minutes of cutting time and ∼500 micro-perforations. Conclusion US-guided percutaneous CHL ligament sectioning is possible with a commercially available ultrasonic probe.

scholarly journals Elasticity of the Coracohumeral Ligament in Patients with Adhesive Capsulitis of the Shoulder

Radiology ◽  
2016 ◽  
Vol 278 (2) ◽  
pp. 458-464 ◽  
Author(s):  
Chueh-Hung Wu ◽  
Wen-Shiang Chen ◽  
Tyng-Guey Wang
Keyword(s):  
Adhesive Capsulitis ◽  
Coracohumeral Ligament

Ultrasound in adhesive capsulitis of the shoulder: is assessment of the coracohumeral ligament a valuable diagnostic tool?

2006 ◽  
Vol 35 (9) ◽  
pp. 673-678 ◽  
Author(s):  
Carlos Homsi ◽  
Marcelo Bordalo-Rodrigues ◽  
Jader J. da Silva ◽  
Xavier M. G. R. G. Stump
Keyword(s):  
Diagnostic Tool ◽  
Adhesive Capsulitis ◽  
Coracohumeral Ligament ◽  
Valuable Diagnostic Tool

Evaluating Correlations of Coracohumeral Ligament Thickness with Restricted Shoulder Range of Motion and Clinical Duration of Adhesive Capsulitis with Ultrasound Measurements

PM&R ◽  
2020 ◽  
Author(s):  
Pin‐Yi Wu ◽  
Po‐Cheng Hsu ◽  
Tzu‐Ning Chen ◽  
Jian‐Ru Huang ◽  
Chen‐Liang Chou ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Adhesive Capsulitis ◽  
Coracohumeral Ligament ◽  
Shoulder Range Of Motion ◽  
Ultrasound Measurements ◽  
Shoulder Range

scholarly journals Effects of positional coracohumeral ligament stretching on the size of calcium deposits in adhesive capsulitis

2020 ◽  
Author(s):  
G. Pooja Sharma ◽  
P. Antony Leo Aseer ◽  
P.M.Venkata Sai ◽  
N. Venkatesh
Keyword(s):  
Diabetes Mellitus ◽  
Shoulder Joint ◽  
Glenohumeral Joint ◽  
Adhesive Capsulitis ◽  
Joint Capsule ◽  
Unknown Etiology ◽  
Painful Condition ◽  
Coracohumeral Ligament ◽  
Calcium Deposits ◽  
Passive Movements

Adhesive capsulitis is a painful condition of unknown etiology with restriction of active and passive movements of the glenohumeral joint. The condition is a result of inflammation, adherence, and swelling in the lining of the shoulder joint capsule and its associated ligaments, causing resultant contracture of the capsule. We describe a patient with calcified and thickened coracohumeral ligament with adhesive capsulitis and diabetes mellitus.

scholarly journals A Thickened Coracohumeral Ligament and Superomedial Capsule Limit Internal Rotation of the Shoulder Joint: Report of Three Cases

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Masashi Koide ◽  
Junichiro Hamada ◽  
Yoshihiro Hagiwara ◽  
Kenji Kanazawa ◽  
Kazuaki Suzuki
Keyword(s):  
Internal Rotation ◽  
External Rotation ◽  
Adhesive Capsulitis ◽  
Arthroscopic Surgery ◽  
Frozen Shoulder ◽  
Severe Restriction ◽  
Manipulation Under Anesthesia ◽  
Coracohumeral Ligament ◽  
Joint Report

Adhesive capsulitis of the shoulder (also known as frozen shoulder) is a painful and disabling disorder with an estimated prevalence ranging from 2% to 5% in the general population. Although the precise pathogenesis of frozen shoulder is unclear, thickened capsule and coracohumeral ligament (CHL) have been documented to be one of the most specific manifestations. The thickened CHL has been understood to limit external rotation of the shoulder, and restriction of internal rotation of the shoulder has been believed to be related to posterior capsular tightness. In this paper, three cases of refractory frozen shoulder treated through arthroscopic release of a contracted capsule including CHL were reported. Two cases in which there is recalcitrant severe restriction of internal rotation after manipulation under anesthesia (MUA) were finally treated with arthroscopic surgery. Although MUA could release the posterior capsule, internal rotation did not improve in our cases. After release of the thickened CHL, range of motion of internal rotation was significantly improved. This report demonstrates the role of the thickened CHL in limiting the internal rotation of the shoulder. We highlight the importance of release of thickened CHL in addition to the pancapsular release, in case of severe limitation of internal rotation of shoulder.

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