Abstract
One of the main purposes of treatment for a frozen shoulder is to reduce pain and recover the shoulder range of motion (ROM). Arthroscopic pancapsular release has been recommended for recalcitrant frozen shoulder; however, the recovery in ROM is insufficient when compared with the unaffected side. There is no consensus on the reasons for these remaining restrictions in ROM, but residual capsular or connective tissue contracture must be considered as candidates. A thickened coracohumeral ligament (CHL) at the rotator interval has been reported as one of the most specific manifestations of a frozen shoulder. It covers a wider portion of the subscapularis, supraspinatus, and infraspinatus tendons than that previously reported. An arthroscopic surgical technique for complete CHL release, including the subscapularis and supraspinatus portions, provides full ROM restoration in line with that of the unaffected side. Furthermore, better pain relief and functional recovery were obtained when compared with arthroscopic pancapsular release without the CHL. This procedure is an essential and reliable method for treating patients with frozen shoulders.
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© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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Hagiwara, Y. (2023). Arthroscopic Coracohumeral Ligament Release: Surgical Management of Frozen Shoulder. In: Lui, T.H. (eds) Arthroscopy and Endoscopy of the Shoulder. Springer, Singapore. https://doi.org/10.1007/978-981-19-7884-5_35
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DOI: https://doi.org/10.1007/978-981-19-7884-5_35
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