Early Arthroscopic Release in Stiff Shoulder

ABSTRACT

Purpose: To evaluate the results of early arthroscopic release in the patients of stiff shoulder Methods: Twenty patients of stiff shoulder; who had symptoms for at least three months and failed to improve with steroid injections and physical therapy of 6 weeks duration; underwent arthroscopic release. The average time between onset of symptoms and the time of surgery was 4 months and 2 weeks. The functional outcome was evaluated using ASES and Constant and Murley scoring systems. Results: All the patients showed significant improvement in the range of motion and relief of pain by end of three months following the procedure. At 12 months; mean improvement in ASES score is 38 points and Constant and Murley score is 4O.5 points. All patients returned to work by 3-5 months (average -4.5 months). Conclusion: Early arthroscopic release showed promising results with reliable increase in range of motion; early relief of symptoms and consequent early return to work. So it is highly recommended in properly selected patients. Level of evidence Level IV