Functional Outcome Of Arthroscopic Management Of Primary Adhesive Capsulitis With 360-Capsular Release

Abstract

Background: Adhesive capsulitis is prevalent, comprising for 2% to 5% of shoulder discomfort. The highest occurrence occurs between the 40 and 60 years of age, and is uncommon outside of these age groups. It is characterized by progressive pain at the deltoid muscle inserting, reluctance to rest on the injured side, and limitation in active and passive elevations and outward rotation. Prior to being referred for surgery, the majority of patients are initially prescribed various forms of physical therapy as well as injections of corticosteroids. In spite of the fact that nonoperative treatment is effective for the majority of frozen shoulder cases, surgical intervention may be required in situations when conservative treatment has been unsuccessful.

Objective: The current study sought to determine functional outcome of the Arthroscopic management of primary adhesive capsulitis with 360-capsular with Oxford Shoulder Scores (OSS) & VAS Score in our local population.

Method: Descriptive case series was performed in  department of orthopedic surgery, Lahore general hospital Lahore, over 30 patients with intense resistive adhesive capsulitis. Patient with shoulder infection, post traumatic and postoperative adhesive capsulitis were excluded. The major outcome measure was OSS at 6 months, with supplementary outcomes including the visual analogue scale,  and complications.

Results: Between 1^st July 2023 and 31^st Dec 2023, thirty patients were Arthroscopically managed for treatment of primary adhesive capsulitis. The average age of 53.1 years. Result showed notable gains in OSS over the initial state with 41.9. The OSS improved significantly following the interference, with 85% refinement observed at 6 weeks after surgical intervention.

Conclusions: At six months, candidates who were treated for ACR had a considerably greater OSS and there was a significant improvement.