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195420

Functional Outcome After Arthroscopic Capsular Release in Management of the Shoulder Adhesive Capsulitis

Article

Last updated: 24 Dec 2024

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Abstract

Background: When adhesive capsulitis develops, it causes shoulder pain and limits ranges of motion in the 2 passive and active ways. Following an arthroscopic release of the frozen shoulder, the pain intensity and frequency were found to be significantly reduced. Objective: This work was performed to assess the clinical findings after use of arthroscopic capsular release in management of shoulder adhesive capsulitis that had not responded to at least six months of conservative treatment prior and to study how much is the regaining of functions of shoulder after the operation. Patients and methods: A total of 18 Egyptian patients with frozen shoulder recruited and treated by arthroscopic capsular release. Preoperative evaluation was done and 1 week, 6 weeks, 12 weeks, and 24 weeks of follow-up after surgery. We used Constant score for assessment of shoulder functions and pain. Results: All of internal rotation, external rotation, abduction, forward flexion, and range of motion significantly increased from pre- to last follow up as follows 3.66 ± 1.2, 3.77 ± 1.25, 4.77 ± 1.21, 4.88 ± 1.40, and 17.11 ± 3.83 pre-operative versus 8.44 ± 1.46, 8.33 ± 1.41, 8.55 ± 1.14, 9.0 ± 1.57, and 31.88 ± 7.52 respectively in last post-operative follow up. Strength of abduction significantly increased from 13.33 ± 1.71 preoperative to 20.50 ± 3.01 in last follow up postoperative. Pain Constant score significantly increased from 5.94 ± 1.43 to 13.44 ± 2.66. Total shoulder Constant score significantly increased from 48.16 ± 6.31to 84.50 ± 11.96. Conclusion: Shoulder adhesive capsulitis that has not well responded to conservative treatment can be successfully treated with arthroscopic surgery.    

DOI

10.21608/ejhm.2021.195420

Keywords

Adhesive capsulitis of shoulder, Arthroscopic capsular release

Authors

First Name

Elias Emhemed Yousef

Last Name

Alazabi

MiddleName

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Affiliation

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Email

eliasalazabi1979@gmail.com

City

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Orcid

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First Name

Adel Mohammad

Last Name

Salama

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohmed A.

Last Name

Abdel Salam

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Hany Mohamed Abd Elfattah

Last Name

Bakr

MiddleName

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Affiliation

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Email

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City

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Orcid

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Volume

85

Article Issue

1

Related Issue

27163

Issue Date

2021-10-01

Receive Date

2021-09-20

Publish Date

2021-10-01

Page Start

3,166

Page End

3,172

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_195420.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=195420

Order

85

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Functional Outcome After Arthroscopic Capsular Release in Management of the Shoulder Adhesive Capsulitis

Details

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Article

Created At

22 Jan 2023