Scope Essentials 2024-Operative Management of Adhesive Capsulitis

Video Transcription

Video Summary

Dr. Holland discusses the operative management of adhesive capsulitis, also known as frozen shoulder. Frozen shoulder is a condition characterized by pain and limited range of motion in the shoulder joint, caused by decreased joint fluid, fibrosis, and thickening of the joint capsule. It is more common in males between the ages of 40 and 60 and can be associated with diabetes and hypothyroidism. Conservative treatment, including physical therapy, is usually successful, but surgery may be required in more severe cases. Surgical options include manipulative under anesthesia (MUA) and arthroscopic capsular release, both aimed at improving range of motion and reducing pain. Post-operative physical therapy is crucial for maintaining the gains achieved in surgery. Overall, patient education and managing expectations are important, as frozen shoulder typically resolves on its own within 12 to 24 months.

Asset Caption

Courtney A. Holland, M.D.

Keywords

adhesive capsulitis

frozen shoulder

operative management

arthroscopic capsular release

post-operative physical therapy