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Management of the Stiff Shoulder With Arthroscopic Circumferential Capsulotomy and Axillary Nerve Release.

ABSTRACT: Management of the stiff shoulder is a common and frequently daunting clinical scenario. Arthroscopic capsular release is usually an option for management of severe, chronic glenohumeral joint contractures when conservative treatment fails. Technical hurdles including a thickened capsule, reduction in joint volume, and difficulty with positioning the shoulder intraoperatively can make this procedure challenging. In addition, incomplete release and recalcitrant stiffness are frequent issues. We believe a complete release of the capsule entails special attention to the axillary pouch and requires identification and protection of the axillary nerve. We present a technique for a complete arthroscopic circumferential capsulotomy and detail our approach to safely dissect and protect the axillary nerve under arthroscopic visualization.

SUBMITTER: Tao MA

PROVIDER: S-EPMC5442417 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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Management of the Stiff Shoulder With Arthroscopic Circumferential Capsulotomy and Axillary Nerve Release.

Tao Matthew A MA Karas Vasili V Riboh Jonathan C JC Laver Lior L Garrigues Grant E GE

Arthroscopy techniques 20170313 2

Management of the stiff shoulder is a common and frequently daunting clinical scenario. Arthroscopic capsular release is usually an option for management of severe, chronic glenohumeral joint contractures when conservative treatment fails. Technical hurdles including a thickened capsule, reduction in joint volume, and difficulty with positioning the shoulder intraoperatively can make this procedure challenging. In addition, incomplete release and recalcitrant stiffness are frequent issues. We be ...[more]

PMID: 28580248

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