Evaluation of Functional Outcome of Arthroscopic Capsular Release in Adhesive Capsulitis (Frozen Shoulder)- A Research Study from North India

Abstract

Introduction: Frozen shoulder is a disabling and painful condition that is commonly managed in the primary care setting. Frozen shoulder has a protracted natural history that usually ends in resolution. It is a condition characterised by functional restriction of both active and passive shoulder motion for which radiographs of the glenohumeral joint are essentially unremarkable except for the possible presence of osteopenia or calcific tendonitis. Aims and Objectives: To evaluate the functional outcome of arthroscopic release of capsule in adhesive capsulitis (frozen shoulder). Materials and Methods: A prospective study conducted on patients diagnosed as having frozen shoulder. A total of 25 patients were taken who underwent Arthroscopic capsular release. Results: The mean forward elevation improved from 100.52 to 156.60 at final follow up. Mean abduction improved from 97.12 to 156.36 at final follow up. Mean external rotation 32.76 to 38.96 at final follow up. Mean internal rotation 18.88 to 37.0 at final follow up. The mean UCLA score improved from 13.16 to 32.16 at final follow. Excellent results were seen in 12 patients (48%), Good in 8 patients (32%), Fair in 4 patients (16%) and Poor in 1 patient (4%). Conclusion: Arthroscopic release of capsule in frozen shoulder (adhesive capsulitis) is a safe and effective procedure with very few complications. It gives further advantage of evaluating any glenohumeral joint and subacromial pathology & rapid rehabilitation is possible in comparison to open procedures.