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

Matthew A. Tao; Vasili Karas; Jonathan C. Riboh; Lior Laver; Grant E. Garrigues

doi:10.1016/j.eats.2016.10.005

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

Matthew A. Tao, Vasili Karas, Jonathan C. Riboh, Lior Laver, Grant E. Garrigues

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

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.

Original language	English (US)
Pages (from-to)	e319-e324
Journal	Arthroscopy Techniques
Volume	6
Issue number	2
DOIs	https://doi.org/10.1016/j.eats.2016.10.005
State	Published - Apr 2017
Externally published	Yes

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.eats.2016.10.005

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title = "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.",

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AU - Karas, Vasili

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AU - Laver, Lior

AU - Garrigues, Grant E.

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AB - 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.

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

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