Arthroscopic Capsular Release

Arthroscopic capsular release is a minimally invasive surgical procedure used to treat conditions such as frozen shoulder, also known as adhesive capsulitis, and other disorders that cause stiffness and limited mobility in the joints.

What is the Procedure?

The procedure involves using an arthroscope, a small flexible tube with a camera and light on the end, to visualize the joint and surrounding tissues. The surgeon then uses specialized instruments to release the contracted capsule, which is the fibrous tissue that surrounds the joint.

Steps Involved in the Procedure

• The patient is given general anesthesia or regional anesthesia to numb the area.
• The surgeon makes several small incisions around the affected joint, usually 2-4 mm in length.
• An arthroscope is inserted through one of the incisions, allowing the surgeon to visualize the joint and surrounding tissues on a monitor.
• Specialized instruments are inserted through the other incisions to release the contracted capsule and any adhesions or scar tissue that may be present.
• The surgeon may also use a shaver or burr to remove any inflamed or damaged tissue.
• The joint is then manipulated to improve range of motion and reduce stiffness.

Indications for Arthroscopic Capsular Release

Arthroscopic capsular release is typically indicated for patients who have:

• Frozen shoulder or adhesive capsulitis that has not responded to conservative treatment such as physical therapy and pain management.
• Significant stiffness and limited mobility in the joint, making everyday activities difficult.
• Contracted or scarred tissue in the joint that is causing pain and stiffness.

Risks and Complications

As with any surgical procedure, there are risks and complications associated with arthroscopic capsular release, including:

• Bleeding or hematoma at the surgical site.
• Infection.
• Nerve damage or numbness.
• Temporary pain or stiffness.
• Reaction to anesthesia.

Recovery and Rehabilitation

After arthroscopic capsular release, patients typically require several weeks of rehabilitation to regain strength and range of motion in the affected joint. This may include:

• Physical therapy to improve flexibility and mobility.
• Pain management with medication or other interventions.
• Gradual return to normal activities, avoiding heavy lifting or strenuous exercise.

Outcomes and Success Rates

The success rate of arthroscopic capsular release varies depending on the individual patient and the underlying condition being treated. However, studies have shown that:

• Significant improvements in range of motion and reduction in pain can be achieved in many patients.
• Some patients may require additional treatment or interventions to achieve optimal results.

Frequently Asked Questions (FAQs)

What is an arthroscopic capsular release?
A minimally invasive surgical procedure to release tight joint capsule tissue.

Which joints can undergo arthroscopic capsular release?
Typically performed on shoulders, elbows, hips, and knees.

What are the indications for arthroscopic capsular release?
Stiffness, limited range of motion, and pain due to contracture or adhesions.

Is arthroscopic capsular release an outpatient procedure?
Often performed as an outpatient procedure, but may require hospital stay.

What type of anesthesia is used for arthroscopic capsular release?
Local, regional, or general anesthesia, depending on the case and patient.

How long does the procedure typically take?
Usually 30 minutes to several hours, depending on complexity.

What are potential risks and complications of arthroscopic capsular release?
Infection, bleeding, nerve damage, and incomplete relief of symptoms.

What is the typical recovery time after arthroscopic capsular release?
Several weeks to months, with physical therapy often recommended.

Can arthroscopic capsular release be performed on patients with certain medical conditions?
May be contraindicated or require special consideration in patients with certain conditions, such as bleeding disorders.

Is arthroscopic capsular release usually covered by insurance?
Often covered by insurance, but coverage and requirements may vary.