الفهرس 
Aim of workOnly 14 pages are availabe for public view
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Abstract
age, 20–30% will develop the condition bilaterally. It is reported that within two to three years after onset, most patients will have recovered whether treated or not. A number of different treatment modalities have been used to decrease time to recovery and improve the results of this condition.
Many treatment options have been advocated for adhesive capsulitis. The fundamental goal of treatment is to restore and maintain function. The methods of treatment include NSAIDs, physiotherapy, intra-articular steroid injection, hydraulic distension, MUA, arthroscopic capsular release and open surgical release.
Although, the existing studies do not establish a superior treatment approach for frozen shoulder, MUA has been advocated by many authors as a useful treatment option. Arthroscopy of the shoulder has become widely accepted as a therapeutic tool in the management of disorders of the shoulder.
The aim of this work was to evaluate the functional outcome of arthroscopic capsular release for treatment of frozen shoulder. The study included eighteen patients. The inclusion criteria include insidious onset of shoulder pain, limitation of both active and passive range of motion, symptoms for at least 3 months and at least 8 weeks of medical treatment without improvement in the condition, aged from 39 to 68 years old, with 7
Summary
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patients less than 50-year-old and 11 patients aged above 50 year old. The mean age of patients in this study was 54.28. In the study patients aged less than 50-year-old had a greater improvement on the constant Murley score with score results increasing between 20 to 50,in comparison to patients older than 50-year-old whose score raised by 10 to 36.
Patients were treated by arthroscopic release utilizing the standard anterior and posterior shoulder arthroscopic portals for releasing the anterior, inferior and posterior capsule.
The patients started the physical therapy on the first day post operatively under adequate analgesia. The patients attended the follow-up for six-month duration. They were followed every two weeks for the first three months postoperative, then every month in the next three months. The Constant-Murley shoulder score was the parameter of choice for functional evaluation.
At the end of follow up period the mean score was 80.72 ± 11.16 ranging from 60– 96.
No major complications were encountered in any patient. No deterioration in range of shoulder motion.
Conclusion
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Conclusion
Arthroscopic capsular release is an effective and safe method for treatment of refractory cases of frozen shoulder in which other treatment methods failed.
Circumferential capsular release was needed to achieve considerable range of shoulder motion in all directions.
This achieved dramatic pain and motion improvement postoperatively in activity of daily living, flexion, abduction, combined active external rotation, combined active internal rotation, strength and total Constant - Murley score.