الفهرس | Only 14 pages are availabe for public view |
Abstract Purpose: 1-To evaluate the clinical results of arthroscopic capsular release for primary resistant frozen shoulder after failure of conservative measures. Materials and methods : Between august 2020 and May 2023,31 cases who had primary resistant frozen shoulder had arthroscopic capsular release under general anesthesia. Using radiofrequency, arthroscopic release was started by releasing coracohumeral ligament then superior glenohumeral ligament then middle glenohumeral ligament then anteroinferior glenohumeral ligament then superior capsule lastly posterior capsule near the labrum. Results: After 12 months postoperatively, all clinical scores and ROMs were significantly increased compared to the preoperative measurements. Mean value of pain VAS decreased by 7, mean Constant score increased by 48.9, mean Oxford shoulder score increased by 26.17 and the ROM improved by mean 88° in forward elevation, 72.5° in external rotation, and 39° in internal rotation. All increases were statistically significant. Conclusions : Arthroscopic capsular release for refractory idiopathic frozen shoulder is an effective procedure that allows treatment of frozen shoulder with minimal morbidity. Keywords: Frozen shoulder, arthroscopic release. |