Arthroscopic Capsular Release and Manipulation Under Anaesthesia

Do I Need Surgery for Frozen Shoulder?

For some individuals with frozen shoulder, conservative treatments may not provide sufficient relief, and surgical intervention may be necessary to improve symptoms and restore shoulder function. Surgical options for frozen shoulder typically aim to release the tight capsule and adhesions, allowing for improved joint mobility and range of motion.

 

The surgical approach typically involves minimally invasive procedures such as arthroscopic capsular release and manipulation under anesthesia (MUA). During the procedure, the surgeon makes small incisions around the shoulder joint and inserts a tiny camera (arthroscope) and specialized surgical instruments to access the joint space.

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Using the arthroscope for visualization, the surgeon carefully releases tight ligaments and adhesions within the shoulder capsule, allowing for improved mobility and range of motion. Arthroscopic capsular release offers several advantages over traditional open surgery, including smaller incisions, less post-operative pain, and faster recovery times.

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This is typically followed by MUA, which involves manipulation of the shoulder joint while the patient is under general anesthesia, allowing the surgeon to break up adhesions and scar tissue that restrict joint movement.

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Following MUA, patients typically undergo a period of post-operative rehabilitation to maintain joint mobility and prevent the reformation of adhesions. While MUA can be effective in restoring shoulder mobility, there is a risk of complications such as fractures or soft tissue injuries, and careful patient selection and techniques are essential.

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