Arthroscopic release of frozen shoulder
Arthroscopic Release of Frozen Shoulder Procedure: Medical Overview and Steps
Arthroscopic release of frozen shoulder, also known as arthroscopic capsular release or arthroscopic manipulation, is a minimally invasive surgical procedure performed to treat adhesive capsulitis, commonly known as frozen shoulder. This condition involves the gradual tightening and thickening of the joint capsule, leading to restricted shoulder movement and pain. Arthroscopic release aims to alleviate pain and improve shoulder mobility.
Procedure Steps:
Preoperative Assessment: Prior to surgery, the patient undergoes a comprehensive evaluation, including a review of medical history, physical examination, and imaging studies (such as X-rays and MRI) to assess the severity of the frozen shoulder and rule out other conditions.
Informed Consent: The patient is provided with detailed information about the procedure, potential risks, benefits, and alternative treatments. Informed consent is obtained, ensuring the patient’s understanding and agreement.
Anesthesia: The patient is typically placed under general anesthesia or regional anesthesia (nerve block) to ensure their comfort during the procedure.
Surgical Approach: Arthroscopic release is performed using a small, thin camera called an arthroscope and specialized surgical instruments. Several small incisions are made around the shoulder joint to insert the arthroscope and instruments.
Visualization and Capsular Release: The arthroscope provides a clear view of the interior of the shoulder joint on a monitor. The surgeon carefully identifies and releases the tight and thickened portions of the joint capsule that are limiting shoulder movement. This may involve cutting or releasing the adhesions using specialized instruments.
Closure and Recovery: After the procedure, the incisions are closed using sutures or adhesive strips. The patient is closely monitored as they wake up from anesthesia.
Postoperative Care: Pain management, physical therapy, and rehabilitation are essential components of recovery. The patient may need to wear a sling for a period to support the shoulder and facilitate healing.
Recovery and Rehabilitation: Physical therapy is crucial in the recovery process to regain shoulder mobility and strength. The therapist guides the patient through exercises and stretches to gradually restore full range of motion and function.
References:
American Academy of Orthopaedic Surgeons. (2021). Adhesive Capsulitis (Frozen Shoulder). Retrieved from https://orthoinfo.aaos.org/en/diseases–conditions/adhesive-capsulitis-frozen-shoulder
Mayo Clinic. (2021). Frozen Shoulder. Retrieved from https://www.mayoclinic.org/diseases-conditions/frozen-shoulder/diagnosis-treatment/drc-20372612
American Shoulder and Elbow Surgeons. (2021). Adhesive Capsulitis (Frozen Shoulder). Retrieved from https://www.orthopaedicsone.com/display/Main/Adhesive+Capsulitis
University of California, San Francisco (UCSF) Department of Orthopaedic Surgery. (2021). Arthroscopic Capsular Release for Adhesive Capsulitis (Frozen Shoulder). Retrieved from https://orthosurgery.ucsf.edu/patient-care/divisions/sports-medicine/conditions/shoulder/adhesive-capsulitis-frozen-shoulder.html
American Journal of Sports Medicine. (2019). Surgical Release for Frozen Shoulder: A Systematic Review and Meta-analysis of Clinical Trials. Retrieved from https://journals.sagepub.com/doi/abs/10.1177/0363546518781011
Please note that the specifics of arthroscopic release procedures for frozen shoulder may vary based on individual patient factors and the surgeon’s approach. Always consult with qualified orthopedic surgeons and healthcare professionals for personalized advice and information regarding arthroscopic release of frozen shoulder procedures.
Below is some Orthopaedic Surgeons that can assist with Arthroscopic Release of Frozen Shoulder Surgery
Dr Chris McCready
Orthopaedic Surgeon
- Phone:011 647 3571
- Email:[email protected]
Dr. P.H Laubscher
Specialist Orthopaedic Shoulder Surgeon
- Phone:(+27) 11 788-5110
- Email:[email protected]
Dr Shaun de Villiers
Orthopaedic Specialist
- Phone:043 422 0469
- Email:[email protected]
Dr Chris Narramore
Orthopedic ankle & shoulder specialist
- Phone:+27 21 762 5228
- Email:[email protected]
Dr Andries van Niekerk
Orthopaedic Surgeon
- Phone:012 664 2014
- Email:[email protected]
Dr Beyers Oosthuizen
Orthopaedic Surgeon
- Phone:+27 (0)12 652 9431
- Email:[email protected]
Dr Stephen Smith
Orthopaedic Surgeon
- Phone:(010) 786-4977
- Email:[email protected]
Dr Iwan Scott
Orthopaedic Surgeon
- Phone:015 291 5405
- Email:[email protected]
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