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Arthroscopic capsular release effective for primary, secondary adhesive shoulder capsulitis
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Arthroscopic capsular release is a safe, effective treatment for patients with primary or secondary adhesive shoulder capsulitis, according to researchers in Germany.
The researchers performed 360· capsular release performed on 173 shoulders in 167 patients with adhesive shoulder capsulitis. According to the study abstract, 91 shoulders (52.6%) had primary adhesive shoulder capsulitis and 82 shoulders (47.4%) had secondary capsulitis. The median follow-up was 36 months, with a range of 14 months to 67 months. Investigators used the Constant score to evaluate patients.
Study results showed both groups experienced significant improvement for all ranges of motion immediately after surgery and at follow-up.
Median preoperative Constant scores were about 41 points for the primary and secondary groups, and increased significantly to 83 points (85 points for primary cases and 74 points for secondary cases) at the time of follow-up, Jerosch and colleagues noted.
“The [Constant] score component for pain and the Visual Analogue Scale score were also significantly increased,” they wrote.
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Jerosch J. Knee Surg Sports Traumatol Arthrosc. 2012. doi: 10.1007/s00167-012-2124-1.
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