APEX Shoulder Mastering Surgical Techniques for Clinical Success-Capsular Release: 360-Degree Release for Gaining Mobility

Video Transcription

Video Summary

In this video, Alan Curtis from Boston discusses managing the stiff shoulder, specifically adhesive capsulitis. He explains that adhesive capsulitis can be primary, resulting from global inflammation of the capsule, or secondary, associated with post-surgical or post-traumatic causes. Curtis describes the stages of adhesive capsulitis, including increasing pain and loss of motion in stage one, acute symptoms and synovitis in stage two, stretch pain and global loss of motion in stage three, and slow resolution of symptoms in stage four. He emphasizes the importance of early treatment, which includes icing, physical therapy focused on stretching, and intra-articular cortisone shots. If patients fail two shots, surgery may be considered. Curtis advises against overdoing releases and unnecessary procedures. He also discusses managing the stiff postoperative shoulder and identifies common causes of pain and stiffness after surgery, such as scar formation and impingement. Treatment options include cortisone shots and selective release of adhesions based on exam findings. Curtis concludes by emphasizing the importance of staying with the least invasive approach and focusing on the patient's needs and specific findings. He also mentions a movie called "Over the Moon" on Netflix for kids to watch, which features music composed by his brother.

Asset Caption

Alan Curtis, MD

Keywords

adhesive capsulitis

shoulder management

cortisone shots

postoperative stiffness

physical therapy