Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release

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Presentation transcript:

Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release Guillermo Arce, M.D. Arthroscopy Techniques Volume 4, Issue 6, Pages e717-e720 (December 2015) DOI: 10.1016/j.eats.2015.06.004 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Anterior view of a dissected cadaveric specimen showing the rotator interval anatomy in a right shoulder. The coracohumeral ligament (CHL) runs from the coracoid base up to the proximal bicipital groove and constitutes one of the main structures involved in primary frozen shoulder syndrome. (CAL, coracoacromial ligament; CP, coracoid process; LHB, long head of biceps tendon.) Reprinted with permission.12 Arthroscopy Techniques 2015 4, e717-e720DOI: (10.1016/j.eats.2015.06.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic view from the posterior portal in a right shoulder showing reddish capsular tissue (CR). An L-tipped radiofrequency device is used to perform rotator interval release and serial capsulotomies. Reprinted with permission.12 Arthroscopy Techniques 2015 4, e717-e720DOI: (10.1016/j.eats.2015.06.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic view from the posterior portal in a right shoulder showing the radiofrequency wand in place for coracohumeral ligament (CHL) excision. After this surgical step, almost full external rotation is recovered. (HH, humeral head; LHB; long head of biceps; SUBS, subscapularis.) Reprinted with permission.12 Arthroscopy Techniques 2015 4, e717-e720DOI: (10.1016/j.eats.2015.06.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic view from the posterior portal in a right shoulder in which the superior glenohumeral ligament (SGHL) and coracohumeral ligament (CHL) have already been released by the radiofrequency device. The loosened ligament is shown after excision. The burned edges of the ligament preclude adhesion formation and lead to a delay in capsular healing, allowing for a tolerable rehabilitation program. (LHB, long head of biceps.) Reprinted with permission.12 Arthroscopy Techniques 2015 4, e717-e720DOI: (10.1016/j.eats.2015.06.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions