AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Arthroscopic Capsular Release for Primary Frozen Shoulder Syndrome

Arthroscopic Capsular Release for Primary Frozen Shoulder Syndrome

Video Transcription

Video Summary

Arthroscopic capsular release is an effective treatment for frozen shoulder unresponsive to conservative therapy, aiming to reduce pain and restore motion by precisely releasing tightened capsule and ligaments, especially the coracohumeral ligament (CHL). The procedure is performed with the patient seated, using posterior and anterolateral portals for scope and radiofrequency device access to release the rotator interval, CHL, and posterior capsule. Postoperative assessment shows immediate full recovery of range of motion. Patient education on gains is crucial, considering their psychological profile, to ensure confidence and commitment to rehabilitation. Subacromial decompression is rarely needed.

Keywords

Arthroscopic capsular release

Frozen shoulder

Coracohumeral ligament release

Range of motion recovery

Patient rehabilitation education