AANA Shoulder Arthroscopy - August 2024-Capsular Release_ 360-Degree Release for Gaining Mobility

Capsular Release_ 360-Degree Release for Gaining Mobility

Video Transcription

Video Summary

Alan Curtis discusses managing adhesive capsulitis ("frozen shoulder"), highlighting its stages, symptoms, and risk factors like diabetes and autoimmune disorders. He emphasizes careful diagnosis to avoid unnecessary surgery often prompted by misinterpreted MRIs. Initial treatments include anti-inflammatories, physical therapy focused on stretching (not strengthening), and guided corticosteroid injections, often effective in resolving stiffness. Surgery is reserved for refractory cases, involving selective capsular releases while avoiding over-aggressive procedures to prevent complications. Post-op rehabilitation centers on early motion and gradual strengthening. Curtis stresses individualized care, avoiding overtreatment, and focusing on restoring motion for better outcomes in both primary and postoperative stiff shoulders.

Asset Caption

Alan Curtis, MD

Keywords

adhesive capsulitis

frozen shoulder

physical therapy

corticosteroid injections

surgical treatment