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 journalArticlepeer-review

7 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 languageEnglish (US)
Pages (from-to)e319-e324
JournalArthroscopy Techniques
Volume6
Issue number2
DOIs
StatePublished - Apr 2017
Externally publishedYes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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