scholarly journals Essential Surgical Technique for Arthroscopic Capsular Release in the Treatment of Shoulder Stiffness

2015 ◽  
Vol 5 (3) ◽  
pp. e14 ◽  
Author(s):  
Yang-Soo Kim ◽  
Hyo-Jin Lee
Keyword(s):  
Surgical Technique ◽  
Shoulder Stiffness ◽  
Capsular Release ◽  
Arthroscopic Capsular Release

Effectiveness of arthroscopic management of idiopathic shoulder stiffness: A meta-analysis

2021 ◽  
pp. 1-8
Author(s):  
Ya-Dong Wang ◽  
Yu-Xiang Ming ◽  
Yong-Hua Pang ◽  
Wei-Nan Chen ◽  
Xu-Hua Zong ◽  
...  
Keyword(s):  
Range Of Motion ◽  
External Rotation ◽  
Meta Analysis ◽  
Eligibility Criteria ◽  
Shoulder Stiffness ◽  
Capsular Release ◽  
Shoulder Range Of Motion ◽  
Arthroscopic Capsular Release ◽  
Shoulder Range

BACKGROUND: Persisting shoulder stiffness adversely affects quality of life by causing pain and motion restrictions especially in patients with diabetes. OBJECTIVE: The aim of this study was to evaluate the outcomes of arthroscopic capsular release in patients with idiopathic shoulder stiffness. METHOD: A literature search was conducted in electronic databases and studies were selected by following precise eligibility criteria. Random-effects meta-analyses were performed to estimate the changes at latest follow-up in scores of the Constant, American Shoulder and Elbow Surgeons (ASES), and University of California at Los Angelis (UCLA) scales, Visual Analogue Scale (VAS), and shoulder range of motion. RESULTS: Nineteen studies were included. The follow-up duration was 42 months [95% confidence interval (CI): 32, 51]. Improvements in scores of the Constant, ASES, UCLA scales, and VAS were 48.3 [95% CI: 38.0, 58.6], 44.6 [95% CI: 24.6, 64.6], 19.3 [95% CI: 16.6, 22.0], and -6.1 [95% CI: -6.9, -5.4] respectively (P< 0.05 all). Improvements in the shoulder range of motion were: abduction 82.0 [95% CI: 65.0, 98.9]; forward flexion 75.9 [95% CI: 59.7, 92.1]; external rotation 43.2 [95% CI: 37.5, 49.0]; and internal rotation 25.4 [95% CI: 15.2, 35.5] degrees; P< 0.05 all). CONCLUSION: Arthroscopic capsular release effectively improves shoulder function in patients with idiopathic shoulder stiffness.

Arthroscopic Capsular Release for the Treatment of Refractory Postoperative or Post-Fracture Shoulder Stiffness

2001 ◽  
Vol 83 (11) ◽  
pp. 1682-1687 ◽  
Author(s):  
G. Brian Holloway ◽  
Thomas Schenk ◽  
Gerald R. Williams ◽  
Matthew L. Ramsey ◽  
Joseph P. Iannotti
Keyword(s):  
Shoulder Stiffness ◽  
Capsular Release ◽  
Arthroscopic Capsular Release

Arthroscopic capsular release for posttraumatic shoulder stiffness

2008 ◽  
Vol 17 (3) ◽  
pp. 410-414 ◽  
Author(s):  
Ofer Levy ◽  
Mark Webb ◽  
Tirtza Even ◽  
Balachandran Venkateswaran ◽  
Lennard Funk ◽  
...  
Keyword(s):  
Shoulder Stiffness ◽  
Capsular Release ◽  
Arthroscopic Capsular Release

Arthroscopic Capsular Release for Shoulder Stiffness

2011 ◽  
pp. 43-49
Author(s):  
Arup K. Bhadra ◽  
Craig S. Roberts ◽  
Frank O. Bonnarens
Keyword(s):  
Shoulder Stiffness ◽  
Capsular Release ◽  
Arthroscopic Capsular Release

scholarly journals Comparison of Gene Expression of Inflammation- and Fibrosis-Related Factors Between the Anterior and Posterior Capsule in Patients With Rotator Cuff Tear and Shoulder Stiffness

2021 ◽  
Vol 9 (10) ◽  
pp. 232596712110325
Author(s):  
Yang-Soo Kim ◽  
Yun-Gyoung Lee ◽  
Hyung-Seok Park ◽  
Ryu-Kyoung Cho ◽  
Hyo-Jin Lee
Keyword(s):  
Gene Expression ◽  
Growth Factor ◽  
Rotator Cuff ◽  
Posterior Capsule ◽  
Anterior Capsule ◽  
Related Factors ◽  
Shoulder Stiffness ◽  
Capsular Release ◽  
Arthroscopic Capsular Release ◽  
Cuff Repair

Background: Arthroscopic capsular release is an effective treatment for refractory shoulder stiffness, yet there are no basic studies that can explain the extent of the release. Purpose: This study aimed to compare the genetic expression of inflammation- and fibrosis-related factors between the anterior and posterior capsules in patients with shoulder stiffness and rotator cuff tear. Study Design: Descriptive laboratory study. Methods: Enrolled in this study were 35 patients who underwent arthroscopic capsular release for shoulder stiffness along with the rotator cuff repair. Anterior and posterior glenohumeral joint capsular tissues were obtained during the capsular release. For the control tissue, anterior capsule was obtained from 40 patients without stiffness who underwent arthroscopic rotator cuff repair. The gene expression of collagen types I and III, fibronectin, extracellular matrix, basic fibroblast growth factor, transforming growth factor–β, connective tissue growth factor, matrix metalloproteinase (MMP)-1, MMP-2, MMP-9, tissue inhibitor of metalloproteinase (TIMP)-1, TIMP-2, intercellular adhesion molecule 1, interleukin 1, and tumor necrotizing factor–α were analyzed using real-time reverse transcription polymerase chain reaction. Differences in gene expression between the anterior capsule, the posterior capsule, and the control tissue were compared with the Kruskal-Wallis test. Results: The expression levels of collagen types I and III were significantly higher in the anterior capsule with stiffness com (pared with both the posterior capsule with stiffness ( P = .010 for both) and the control ( P = .038 and .010, respectively). The levels of fibronectin, MMP-2, and MMP-9 in the anterior capsule were significantly higher than in both the posterior capsule ( P = .013, .003, and .006, respectively) and the control ( P = .014, .003, and .005, respectively). Conclusion: Genetic analysis of the shoulder capsule revealed that more fibrogenic processes occur in the anterior capsule compared with the posterior capsule in patients with shoulder stiffness. Clinical Relevance: Capsular release for shoulder stiffness should be more focused on the anterior capsule than on the posterior capsule.

Arthroscopic capsular release for refractory shoulder stiffness: A critical analysis of effectiveness in specific etiologies

2010 ◽  
Vol 19 (4) ◽  
pp. 580-587 ◽  
Author(s):  
Bassem Elhassan ◽  
Mehmet Ozbaydar ◽  
Daniel Massimini ◽  
Laurence Higgins ◽  
Jon J.P. Warner
Keyword(s):  
Critical Analysis ◽  
Shoulder Stiffness ◽  
Capsular Release ◽  
Arthroscopic Capsular Release
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