2023 ISAKOS Biennial Congress ePoster
Comparing Surgical Outcomes Of Anterior Capsular Release Vs Circumferential Release For Persistent Capsular Siffness
Moin Khan, MD, MSc, FRCSC, Hamilton, ON CANADA
Safiya Erdogan, BHSc(Cand), Hamilton, Ontario CANADA
Seaher Sakha, BSc (Cand), Hamilton CANADA
Ajaykumar Shanmugaraj, BSc, Ajax, Ontario CANADA
Carlos Prada, MD, London, Ontario CANADA
Rachel M. Frank, MD, Aurora, CO UNITED STATES
Timothy Leroux, MD, MEd, FRCSC, Toronto CANADA
McMaster University , Hamilton, ON, CANADA
FDA Status Not Applicable
Summary
The aim of this systematic review is to evaluate available literature to determine if there is any benefit to 360° capsular release over anterior capsular release with respect to range of motion, functional outcomes as well as risk of complications.
ePosters will be available shortly before Congress
Abstract
Purpose
To consolidate the existing literature evaluating anterior capsular release and circumferential capsular release in the treatment of adhesive capsulitis of the shoulder.
Methods
The electronic databases PUBMED, EMBASE, MEDLINE and CENTRAL (Cochrane Central Register of Controlled Trials) were searched from data inception to October 8, 2020. Data are presented descriptively where appropriate. A meta-analysis was conducted for patient-reported outcomes.
Results
Overall, there were forty-six articles included. The majority of patients underwent circumferential release compared to anterior release (80.1% vs. 19.9%). Concomitant MUA was employed in 25 studies, with a higher occurrence in the anterior compared to the circumferential release group (70% vs 60%). Both groups experienced significant improvements postoperatively in range of motion and patient-reported outcomes. Complication rates were low for both anterior release (0.67%) and 360° release (0.44%).
Conclusion
Both anterior and circumferential release are effective techniques for treating adhesive capsulitis with low complication rates. Future studies should improve documentation of patient demographics, surgical techniques and outcomes to determine an individualized treatment protocol for patients.