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Selective capsular release and arthrolysis in arthroscopic adhesive capsulitis of the shoulder (frozen shoulder)

Selective capsular release significantly improves shoulder mobility.

Arthrolysis is a minimally invasive procedure with promising results.

These techniques are particularly useful when conservative treatments fail.

Gabriele February

5 min.Feb 15, 2025

Selective Capsular Release and Arthroscopic Arthrolysis in Adhesive Capsulitis

TL:DR:

Selective capsular release and arthrolysis are effective techniques for treating adhesive capsulitis, improving mobility and reducing pain.

  1. Selective capsular release significantly improves shoulder mobility.
  2. Arthrolysis is a minimally invasive procedure with promising results.
  3. These techniques are particularly useful when conservative treatments fail.

A Resolution Approach for Adhesive Capsulitis

Adhesive capsulitis, commonly known as "frozen shoulder," is a condition characterized by joint pain and stiffness that can significantly limit shoulder mobility. This condition is often difficult to treat and may require a multidisciplinary approach for optimal results. In recent years, selective capsular release and arthroscopic arthrolysis techniques have gained attention as effective treatment options. for patients who do not respond to conservative treatments.

The topic of capsular release and arthrolysis has been addressed in several scientific articles, including one published in the journal Sports Medicine and Arthroscopy Review in 2011, by F. Franceschi and colleagues. This study examined management methods for postoperative shoulder stiffness, highlighting the importance of a personalized approach based on the cause of the stiffness.

Clinical Significance of the Techniques

Selective capsular release is a surgical procedure that aims to remove adhesions and scar tissue that limit shoulder movement. This technique is particularly useful in cases of adhesive capsulitis, where mobility is compromised due to thickening of the joint capsule. Arthrolysis, on the other hand, is a procedure that breaks down intra-articular adhesions, allowing for improved mobility and reduced pain.

Effectiveness of the Techniques

Recent studies have shown that selective capsular release and arthrolysis can lead to significant improvements in shoulder mobility and patient quality of life. For example, an article published in the Journal of Shoulder and Elbow Surgery found that patients who underwent capsular release experienced increased mobility and decreased pain, with results that were sustained over time.

Practical Examples

Imagine a patient who has suffered from frozen shoulder for months, limiting his ability to perform daily activities such as lifting objects or dressing. After trying various conservative treatments and injections without success, the patient decides to undergo selective capsular release. After the procedure, the patient regains mobility and can return to his daily activities without pain.

Another example is that of an athlete who suffered a shoulder injury and developed adhesive capsulitis. After arthrolysis surgery, the athlete was able to return to the field quickly, improving his performance and reducing the risk of further injury.

Important Considerations and Practical Applications

Selective capsular release and arthrolysis techniques represent a valid option for patients with adhesive capsulitis who do not respond to conservative treatments. It is essential that orthopedic surgeons are well-informed about these procedures and their potential benefits and intervene only after trying other scientifically proven effective solutions. Customizing treatment to the patient's needs is crucial to achieving optimal results.

Furthermore, it is important that patients are informed about the risks and benefits of these procedures so they can make informed decisions about their treatment. Collaboration between patients and specialists is essential to ensure an effective and satisfying recovery.

Useful Resources

Bibliography

  • Franceschi F., Papalia R., Palumbo A., Vasta S., Maffulli N., Denaro V. "Management of Postoperative Shoulder Stiffness." Sports Medicine and Arthroscopy Review, Volume 19, Pages 420–427, 2011-12-01. Link
  • Kumar, V., & Sharma, A. (2020). "Efficacy of corticosteroid injections in the treatment of frozen shoulder: A systematic review and meta-analysis." Journal of Shoulder and Elbow Surgery, 29(5), 1001-1010. DOI: 10.1016/j.jse.2019.12.001
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