Arthroscopic release for chronic, refractory adhesive capsulitis of the shoulder.

摘要: Idiopathic adhesive capsulitis usually responds to gentle physical therapy or, if that fails, closed manipulation with the patient under anesthesia. In some patients, however, loss of motion may be refractory either these treatments and an operative release indicated. We are reporting on technique results arthroscopic capsular as a new alternative for management such patients. During three-year period, we managed twenty-three patients who had idiopathic failed respond or manipulation. These anterior received forty-eight hours intensive inpatients. therapy, interscalene regional analgesic use repeated nerve blocks continuous infusion through catheter. This was followed by supervised outpatient physical-therapy program. Six also acromioplasty treatment impingement. There were no complications related any procedures. At mean thirty-nine months (range, twenty-four sixty-four months) after procedure, improvement in score Constant Murley averaged 48 points 13 77 points). The 49 degrees 0 105 degrees) flexion; 42 10 80 53 100 external rotation adduction abduction, respectively; eight spinous-process levels three fourteen levels) 33 30 60 internal respectively. gains all significant (p < 0.01) compared preoperative values within 7 contralateral, normal shoulder. concluded that, have is manipulation, improves reliably little morbidity.