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Tao MA, Karas V, Riboh JC, et al. Management of the Stiff Shoulder With Arthroscopic Circumferential Capsulotomy and Axillary Nerve Release. Arthrosc Tech. 2017;6(2):e319-e324doi: 10.1016/j.eats.2016.10.005.
Tao, M. A., Karas, V., Riboh, J. C., Laver, L., & Garrigues, G. E. (2017). Management of the Stiff Shoulder With Arthroscopic Circumferential Capsulotomy and Axillary Nerve Release. Arthroscopy techniques, 6(2), e319-e324. https://doi.org/10.1016/j.eats.2016.10.005
Tao, Matthew A, et al. "Management of the Stiff Shoulder With Arthroscopic Circumferential Capsulotomy and Axillary Nerve Release." Arthroscopy techniques vol. 6,2 (2017): e319-e324. doi: https://doi.org/10.1016/j.eats.2016.10.005
Tao MA, Karas V, Riboh JC, Laver L, Garrigues GE. Management of the Stiff Shoulder With Arthroscopic Circumferential Capsulotomy and Axillary Nerve Release. Arthrosc Tech. 2017 Mar 13;6(2):e319-e324. doi: 10.1016/j.eats.2016.10.005. eCollection 2017 Apr. PMID: 28580248; PMCID: PMC5442417.
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Arthrosc Tech. 2017 Mar 13;6(2):e319-e324. doi: 10.1016/j.eats.2016.10.005. eCollection 2017 Apr.

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

Arthroscopy techniques

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

Affiliations

  1. Division of Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.

PMID: 28580248 PMCID: PMC5442417 DOI: 10.1016/j.eats.2016.10.005

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.

References

  1. J Shoulder Elbow Surg. 2007 Nov-Dec;16(6):722-6 - PubMed
  2. J Am Acad Orthop Surg. 2011 Sep;19(9):536-42 - PubMed
  3. J Shoulder Elbow Surg. 2013 Aug;22(8):1135-45 - PubMed
  4. Am J Sports Med. 1997 May-Jun;25(3):294-8 - PubMed
  5. Arthroscopy. 2012 Jul;28(7):916-23 - PubMed
  6. Arthroscopy. 2013 Mar;29(3):440-8 - PubMed
  7. Arthroscopy. 1990;6(4):301-5 - PubMed
  8. J Shoulder Elbow Surg. 2008 May-Jun;17(3):410-4 - PubMed
  9. J Shoulder Elbow Surg. 2004 Mar-Apr;13(2):174-9 - PubMed
  10. J Shoulder Elbow Surg. 2000 Jan-Feb;9(1):23-6 - PubMed
  11. J Am Acad Orthop Surg. 1997 May;5(3):130-140 - PubMed
  12. Clin Orthop Relat Res. 2000 Mar;(372):95-109 - PubMed
  13. J Shoulder Elbow Surg. 2002 Jan-Feb;11(1):25-32 - PubMed
  14. Rev Chir Orthop Reparatrice Appar Mot. 1973;59:Suppl 1:21-5 - PubMed
  15. J Bone Joint Surg Am. 2012 Jul 3;94(13):1208-16 - PubMed
  16. Arthroscopy. 2010 Apr;26(4):529-35 - PubMed
  17. J Shoulder Elbow Surg. 2010 Jun;19(4):580-7 - PubMed
  18. Clin Orthop Relat Res. 1995 Oct;(319):238-48 - PubMed
  19. Arch Phys Med Rehabil. 2001 Sep;82(9):1188-90 - PubMed
  20. Ann Rheum Dis. 1995 Dec;54(12):959-64 - PubMed
  21. J Bone Joint Surg Am. 1996 Dec;78(12):1808-16 - PubMed
  22. Clin Orthop Relat Res. 1994 Jul;(304):30-6 - PubMed
  23. Orthopedics. 1996 Oct;19(10):849-53 - PubMed
  24. Arthroscopy. 2009 Jan;25(1):19-23 - PubMed
  25. Am J Sports Med. 1992 Nov-Dec;20(6):675-85 - PubMed
  26. J Shoulder Elbow Surg. 2004 Sep-Oct;13(5):499-502 - PubMed
  27. Knee Surg Sports Traumatol Arthrosc. 2013 May;21(5):1195-202 - PubMed
  28. Arthroscopy. 2010 Nov;26(11):1451-5 - PubMed
  29. J Bone Joint Surg Br. 1986 Mar;68(2):201-7 - PubMed

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