387339

Outcomes of Arthroscopic Coracohumeral Ligament Release in Patients with Frozen Shoulder

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Last updated: 03 Jan 2025

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Abstract

Background: Frozen shoulder is a condition characterized by pain and limited range of motion (ROM), often persisting despite conservative treatments. Arthroscopic coracohumeral ligament (CHL) release is an emerging surgical option. This study evaluates the outcomes of CHL release in patients with frozen shoulder, focusing on pain, function, and ROM improvements. Patients and Methods: A prospective study was conducted with 20 adult patients with unilateral frozen shoulder, unresponsive to conservative management. All patients underwent arthroscopic CHL release and L-shaped incision of the rotator interval. Preoperative and postoperative assessments included pain scores, function scores, and ROM measurements (external and internal rotation, forward flexion, abduction) at 1, 3, and 6 months. Data were analyzed using SPSS version 20, with a significance level set at P < 0.05. Results: Significant improvements were observed in pain (76.09%) and function scores (94.07%) at 1 month postoperatively (P < 0.05). ROM, including forward flexion (60.33%) and abduction (60.29%), showed marked improvements. At 3 months, external rotation improved by 31.55% (P < 0.05), while internal rotation increased significantly by 19.11%. By 6 months, pain and function showed minor gains, but internal rotation achieved a significant improvement of 16.64% (P < 0.05). No significant differences in the UCLA score were observed between the 3- and 6-month follow-ups. Conclusion: Arthroscopic CHL release is effective for improving pain, function, and ROM in patients with frozen shoulders, particularly within the first three months post-surgery. Long-term benefits in internal rotation warrant further study.  

DOI

10.21608/ejhm.2024.387339

Keywords

Frozen shoulder, Arthroscopic CHL release, range of motion, Shoulder pain, orthopedic surgery

Volume

97

Article Issue

1

Related Issue

50804

Issue Date

2024-10-01

Receive Date

2024-10-21

Publish Date

2024-10-01

Page Start

3,704

Page End

3,715

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_387339.html

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https://ejhm.journals.ekb.eg/service?article_code=387339

Order

42

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

Outcomes of Arthroscopic Coracohumeral Ligament Release in Patients with Frozen Shoulder

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Article

Created At

24 Dec 2024