Bursoscopic Finding in Primary Adhesive Capsulitis of the Shoulder

Nam,  Ki Young; Moon,  Young Lae; Kim,  Dong Hui

doi:2008.11.1.19

Clin Shoulder Elb > Volume 11(1); 2008 > Article

Original Article

Journal of the Korean Shoulder and Elbow Society 2008;11(1):19-23.
DOI: https://doi.org/10.5397/CiSE.2008.11.1.019 Published online June 30, 2008.

Bursoscopic Finding in Primary Adhesive Capsulitis of the Shoulder

Ki Young Nam, Young Lae Moon, Dong Hui Kim

Department of Orthopaedic Surgery, Chosun University Hospital, Gwangju, Korea. Orthoped@chosun.ac.kr

견관절 일차성 유착성 관절낭염 환자의 견봉하 관절경 소견

남기영·문영래·김동휘

조선대학교병원 정형외과학교실

Abstract

PURPOSE
To evaluate the bursoscopic findings of refractory primary adhesive capsulitis of the shoulder and to determine the clinical correlation. MATERIALS AND METHODS: Arthroscopic capsular release was performed in 21 refractory adhesive capsulitis patients who had not responded to conservative treatment. The VAS for pain, range of motion, UCLA score was checked before and after surgery, and at the last follow up.
RESULTS
Bursitis, mild friction and impingement on coracoacromial ligament, as well as adhesion were observed. The function and pain improved earlier than after simple acromiohumeral joint capsular release.
CONCLUSION
Subacromial bursoscopy helps rule out a hidden secondary frozen shoulder or secondary changes with primary adhesion. In addition, it has the advantage of being both a treatment and procedure for making a prognosis.

Key Words: Shoulder; Adhesive capsulitis; Subacromial bursa; Bursal pathology