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

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

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

Author(s) -

Matthew Tao,

Vasili Karas,

Jonathan C. Riboh,

Lior Laver,

Grant E. Garrigues

Publication year - 2017

Publication title -

arthroscopy techniques

Language(s) - English

Resource type - Journals

ISSN - 2212-6287

DOI - 10.1016/j.eats.2016.10.005

Subject(s) - medicine , capsulotomy , axillary nerve , surgery , joint capsule , shoulder joint , axillary artery , muscle contracture , conservative management , shoulder surgery , capsule , brachial plexus , intraocular lens , botany , biology

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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