Arthroscopic capsular release for posttraumatic shoulder stiffness
Severe pain and shoulder stiffness after soft tissue trauma or fracture is a major cause of dysfunction. Some patients may have residual, resistant, significant shoulder stiffness that causes long-term functional impairment. This study reports the results of arthroscopic capsular release in 21 patie...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2008-05, Vol.17 (3), p.410-414 |
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| container_title | Journal of shoulder and elbow surgery |
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| creator | Levy, Ofer, MD, MCh (Orth) Webb, Mark, FRCS(T&O) Even, Tirtza, MD, MSc (Stats) Venkateswaran, Balachandran, FRCS(T&O) Funk, Lennard, FRCS(T&O) Copeland, Stephen A., FRCS |
| description | Severe pain and shoulder stiffness after soft tissue trauma or fracture is a major cause of dysfunction. Some patients may have residual, resistant, significant shoulder stiffness that causes long-term functional impairment. This study reports the results of arthroscopic capsular release in 21 patients who presented with posttraumatic stiff shoulders resistant to nonoperative therapy. They underwent arthroscopic circumferential capsular and subacromial release of adhesions under interscalene block, followed with immediate regular physiotherapy. A highly significant improvement in the range of motion (ROM) was achieved immediately postoperatively ( P < .0001). At 6 months, a mean 48% of the ROM gain was lost. Thereafter, ROM steadily improved to a mean net gain of 110% compared with the immediate postoperative time (mean follow-up, 33 months). Most patients (95%) expressed satisfaction with their outcome. Arthroscopic capsular release is a useful treatment for resistant posttraumatic stiff shoulder, particularly to alleviate of pain and restore a functional ROM. |
| doi_str_mv | 10.1016/j.jse.2007.11.014 |
| format | Article |
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Some patients may have residual, resistant, significant shoulder stiffness that causes long-term functional impairment. This study reports the results of arthroscopic capsular release in 21 patients who presented with posttraumatic stiff shoulders resistant to nonoperative therapy. They underwent arthroscopic circumferential capsular and subacromial release of adhesions under interscalene block, followed with immediate regular physiotherapy. A highly significant improvement in the range of motion (ROM) was achieved immediately postoperatively ( P < .0001). At 6 months, a mean 48% of the ROM gain was lost. Thereafter, ROM steadily improved to a mean net gain of 110% compared with the immediate postoperative time (mean follow-up, 33 months). Most patients (95%) expressed satisfaction with their outcome. Arthroscopic capsular release is a useful treatment for resistant posttraumatic stiff shoulder, particularly to alleviate of pain and restore a functional ROM.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2007.11.014</identifier><identifier>PMID: 18343691</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroscopy ; Biological and medical sciences ; Contracture - surgery ; Diseases of the osteoarticular system ; Endoscopy ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Joint Capsule - surgery ; Male ; Medical sciences ; Middle Aged ; Orthopedics ; Shoulder Injuries ; Shoulder Joint - injuries ; Shoulder Joint - surgery</subject><ispartof>Journal of shoulder and elbow surgery, 2008-05, Vol.17 (3), p.410-414</ispartof><rights>Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2008 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-65c0ee25ad217b038dca787f6b93f3bc177315b14df5c5d9f0db500a737b4e803</citedby><cites>FETCH-LOGICAL-c436t-65c0ee25ad217b038dca787f6b93f3bc177315b14df5c5d9f0db500a737b4e803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jse.2007.11.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20348759$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18343691$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Levy, Ofer, MD, MCh (Orth)</creatorcontrib><creatorcontrib>Webb, Mark, FRCS(T&O)</creatorcontrib><creatorcontrib>Even, Tirtza, MD, MSc (Stats)</creatorcontrib><creatorcontrib>Venkateswaran, Balachandran, FRCS(T&O)</creatorcontrib><creatorcontrib>Funk, Lennard, FRCS(T&O)</creatorcontrib><creatorcontrib>Copeland, Stephen A., FRCS</creatorcontrib><title>Arthroscopic capsular release for posttraumatic shoulder stiffness</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>Severe pain and shoulder stiffness after soft tissue trauma or fracture is a major cause of dysfunction. Some patients may have residual, resistant, significant shoulder stiffness that causes long-term functional impairment. This study reports the results of arthroscopic capsular release in 21 patients who presented with posttraumatic stiff shoulders resistant to nonoperative therapy. They underwent arthroscopic circumferential capsular and subacromial release of adhesions under interscalene block, followed with immediate regular physiotherapy. A highly significant improvement in the range of motion (ROM) was achieved immediately postoperatively ( P < .0001). At 6 months, a mean 48% of the ROM gain was lost. Thereafter, ROM steadily improved to a mean net gain of 110% compared with the immediate postoperative time (mean follow-up, 33 months). Most patients (95%) expressed satisfaction with their outcome. Arthroscopic capsular release is a useful treatment for resistant posttraumatic stiff shoulder, particularly to alleviate of pain and restore a functional ROM.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>Contracture - surgery</subject><subject>Diseases of the osteoarticular system</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Joint Capsule - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Shoulder Injuries</subject><subject>Shoulder Joint - injuries</subject><subject>Shoulder Joint - surgery</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EoqXwA7igXOC2YSZO4kRISKUCWqkSh5az5dhj1SEbB0-C1H-PV7sCiQMn-_C88_GMEK8RSgRs34_lyFRWAKpELAHrJ-IcG1nt2gbgaf5D0-0qVbdn4gXzCAB9DdVzcYadrGXb47n4dJnWhxTZxiXYwpqFt8mkItFEhqnwMRVL5HVNZtubNSP8ELfJUSp4Dd7PxPxSPPNmYnp1ei_E9y-f76-ud7ffvt5cXd7ubO615pksEFWNcRWqAWTnrFGd8u3QSy8Hi0pJbAasnW9s43oPbshrGCXVUFMH8kK8O9ZdUvy5Ea96H9jSNJmZ4sY679PVWUIG8QjavBgn8npJYW_So0bQB3F61FmcPojTiPqYeXMqvg17cn8TJ1MZeHsCDFsz-WRmG_gPV4GsO9X0mftw5Cir-BUoabaBZksuJLKrdjH8d4yP_6TtFOaQG_6gR-IxbmnOjjVqrjTou8OFDweGDiDXAfkbSECgaw</recordid><startdate>20080501</startdate><enddate>20080501</enddate><creator>Levy, Ofer, MD, MCh (Orth)</creator><creator>Webb, Mark, FRCS(T&O)</creator><creator>Even, Tirtza, MD, MSc (Stats)</creator><creator>Venkateswaran, Balachandran, FRCS(T&O)</creator><creator>Funk, Lennard, FRCS(T&O)</creator><creator>Copeland, Stephen A., FRCS</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080501</creationdate><title>Arthroscopic capsular release for posttraumatic shoulder stiffness</title><author>Levy, Ofer, MD, MCh (Orth) ; Webb, Mark, FRCS(T&O) ; Even, Tirtza, MD, MSc (Stats) ; Venkateswaran, Balachandran, FRCS(T&O) ; Funk, Lennard, FRCS(T&O) ; Copeland, Stephen A., FRCS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-65c0ee25ad217b038dca787f6b93f3bc177315b14df5c5d9f0db500a737b4e803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroscopy</topic><topic>Biological and medical sciences</topic><topic>Contracture - surgery</topic><topic>Diseases of the osteoarticular system</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Joint Capsule - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Shoulder Injuries</topic><topic>Shoulder Joint - injuries</topic><topic>Shoulder Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Levy, Ofer, MD, MCh (Orth)</creatorcontrib><creatorcontrib>Webb, Mark, FRCS(T&O)</creatorcontrib><creatorcontrib>Even, Tirtza, MD, MSc (Stats)</creatorcontrib><creatorcontrib>Venkateswaran, Balachandran, FRCS(T&O)</creatorcontrib><creatorcontrib>Funk, Lennard, FRCS(T&O)</creatorcontrib><creatorcontrib>Copeland, Stephen A., FRCS</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Levy, Ofer, MD, MCh (Orth)</au><au>Webb, Mark, FRCS(T&O)</au><au>Even, Tirtza, MD, MSc (Stats)</au><au>Venkateswaran, Balachandran, FRCS(T&O)</au><au>Funk, Lennard, FRCS(T&O)</au><au>Copeland, Stephen A., FRCS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arthroscopic capsular release for posttraumatic shoulder stiffness</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2008-05-01</date><risdate>2008</risdate><volume>17</volume><issue>3</issue><spage>410</spage><epage>414</epage><pages>410-414</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Severe pain and shoulder stiffness after soft tissue trauma or fracture is a major cause of dysfunction. Some patients may have residual, resistant, significant shoulder stiffness that causes long-term functional impairment. This study reports the results of arthroscopic capsular release in 21 patients who presented with posttraumatic stiff shoulders resistant to nonoperative therapy. They underwent arthroscopic circumferential capsular and subacromial release of adhesions under interscalene block, followed with immediate regular physiotherapy. A highly significant improvement in the range of motion (ROM) was achieved immediately postoperatively ( P < .0001). At 6 months, a mean 48% of the ROM gain was lost. Thereafter, ROM steadily improved to a mean net gain of 110% compared with the immediate postoperative time (mean follow-up, 33 months). Most patients (95%) expressed satisfaction with their outcome. 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| subjects | Adult Aged Aged, 80 and over Arthroscopy Biological and medical sciences Contracture - surgery Diseases of the osteoarticular system Endoscopy Female Humans Investigative techniques, diagnostic techniques (general aspects) Joint Capsule - surgery Male Medical sciences Middle Aged Orthopedics Shoulder Injuries Shoulder Joint - injuries Shoulder Joint - surgery |
| title | Arthroscopic capsular release for posttraumatic shoulder stiffness |
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