Scope Essentials 2024-Operative Management of Adhesive Capsulitis

Operative Management of Adhesive Capsulitis

Video Transcription

Video Summary

Dr. Holland discusses operative management of adhesive capsulitis (frozen shoulder), a painful, motion-limiting condition common in adults aged 40-60, often linked to diabetes and thyroid issues. The disease progresses through freezing, frozen, and thawing stages over 12-24 months. Diagnosis involves clinical signs and imaging. Conservative treatment—physical therapy, NSAIDs, and corticosteroid injections—is usually effective. Surgery, including manipulation under anesthesia or arthroscopic capsular release, is reserved for refractory cases or severe symptoms after 6-9 months. Arthroscopic release offers controlled treatment with fewer complications. Patient education and managing expectations are crucial, as frozen shoulder often resolves with time and therapy.

Asset Caption

Courtney A. Holland, M.D.

Keywords

adhesive capsulitis

frozen shoulder

operative management

physical therapy

arthroscopic capsular release