Pustaka Ilmiah Universitas Padjadjaran

Abstrak

Role of Shoulder Arthroscopy in the Treatment of Frozen Shoulder

Frozen shoulder, also known as adhesive capsulitis is a common, yet poorly understood, condition characterized by pain and stiffness in the shoulder joint as a results of inflammation and scar formation in the shoulder. It can occur as a result of isolation or concomitantly with other shoulder disorders, such as rotator cuff tendinopathy, bursitis and even diabetes mellitus or thyroid. It is often self-limited, but can persist for years and may never fully restore. Signs and symptoms typically begin gradually, worsen over time and then resolve. Imaging can be helpful to rule out other conditions. The differential diagnosis includes acromioclavicular arthropathy, autoimmune disease (e.g., systemic lupus erythematosus, rheumatoid arthritis), biceps tendinopathy, glenohumeral osteoarthritis, rotator cuff tendinopathy or tear, and subacromial and subdeltoid bursitis. The goal of surgery for frozen shoulder is to stretch and release the stiffened joint capsule. The most common methods include manipulation under anesthesia and arthroscopy to do arthroscopic anterior capsular release.