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Objective: To evaluate the results of arthroscopic releases performed in patients with adhesive capsulitis refractory to conservative treatment. Methods: This was a retrospective study, conducted between and , which included 56 shoulders 52 patients that underwent surgery; 38 were female, and 28 had the dominant side affected. The mean age was 51 years. The mean follow-up was 65 months and the mean preoperative time was 8. According to Zukermann's classification, 23 cases were considered primary and 33 secondary.

With the patient in the lateral decubitus position, circumferential release of the joint capsule was performed: joint debridement; rotator interval opening; coracohumeral ligament release; anterior, posterior, inferior, and finally antero-inferior capsulotomy. A subscapularis tenotomy was performed when necessary. All patients underwent intense physical therapy in the immediate postoperative period.

In 33 shoulders, an interscalene catheter was implanted for anesthetic infusion. Functional results were evaluated by the UCLA criteria. Patients who had undergone inferior capsulotomy achieved better results. Only 8. Seven patients had complications. Conclusion: There was improvement in pain and range of motion. Inferior capsulotomy leads to better results.

The use of the interscalene infusion catheter reduces the number of re-approaches. A capsulotomia inferior leva a melhores resultados. Keywords: Arthroscopy; Bursitis; Shoulder pain. Surgical steps of the arthroscopic release for treating adhesive capsulitis. Sagittal section of….

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Which day? Send at most: 1 item 5 items 10 items 20 items 50 items items items. Send even when there aren't any new results. Optional text in email:. Save Cancel. Create a file for external citation management software Create file Cancel. Full-text links Cite Favorites. Abstract in English , Portuguese. Figures Fig. Sagittal section of the left shoulder showing a release of coracohumeral ligament arrow , b anterior capsulotomy performed through the anterior portal, c posterosuperior capsulotomy, and d anteroinferior capsulotomy, along the axillary nerve, with both capsulotomies performed using the posterior portal, and e tenotomy of the superior quarter of the subscapularis muscle tendon, again through the anterior portal.

See this image and copyright information in PMC. Houck DA, et al. Orthop J Sports Med. Arthroscopic treatment of adhesive capsulitis of the shoulder with minimum follow up of six years.

Fernandes MR. Acta Ortop Bras. Musil D, et al. Acta Chir Orthop Traumatol Cech. PMID: Czech. Apropos of 26 cases. Beaufils P, et al. Translational manipulation after failed arthroscopic capsular release for recalcitrant adhesive capsulitis: a case report. Roubal PJ, Placzek J. Roubal PJ, et al. J Manipulative Physiol Ther. PMID: Review. Show more similar articles See all similar articles.

Takahashi R, et al. Pain Ther. Epub Feb References Neviaser J. Adhesive capsulitis of the shoulder. J Bone Joint Surg Am. Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol. The natural history of idiopathic frozen shoulder. The stiff shoulder. In: Rockwood C. The shoulder. Saunders; Philadelphia: Robinson C.

Frozen shoulder. J Bone Joint Surg Br. Full-text links [x] Free PMC article. Copy Download.


Clinical Evaluation of Arthroscopic Treatment of Shoulder Adhesive Capsulitis

No entanto, alguns relatos indicaram que muitos pacientes podem ficar com dor residual e amplitude de movimento limitada durante anos. Idiopathic adhesive capsulitis: a prospective functional outcome study of nonoperative treatment. J Bone Joint Surg Am. Frozen shoulder: a long-term follow-up. The effectiveness of interventions in the management of patients with primary frozen shoulder. J Bone Joint Surg Br. Evidence-based clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted frozen shoulder: quick reference summary external link opens in a new window.


Capsulite adesiva


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