Cvetanovich Gregory L, Leroux Timothy, Hamamoto Jason T, Higgins John D, Romeo Anthony A, Verma Nikhil N
Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
Arthrosc Tech. 2016 Sep 12;5(5):e1033-e1038. doi: 10.1016/j.eats.2016.05.007. eCollection 2016 Oct.
Idiopathic adhesive capsulitis of the shoulder is a relatively common condition that results in pain and loss of motion due to capsular thickening and fibrosis. Most cases are successfully treated with conservative management including physical therapy and intra-articular steroid injections. If conservative management fails, arthroscopic capsular release allows precise release of thickened capsular tissue with a lower risk of complications and less soft-tissue trauma than manipulation under anesthesia alone. Arthroscopic capsular release in the beach-chair position typically requires some degree of manipulation to release the inferior capsule, which is often not visualized intraoperatively. In this technique article and video, we describe and demonstrate a technique of arthroscopic capsular release in the lateral decubitus position, providing a clear view of the inferior capsule, which facilitates a complete, 360° capsular release and mitigates the need for any manipulation under anesthesia.
特发性肩关节粘连性关节囊炎是一种相对常见的病症，由于关节囊增厚和纤维化导致疼痛和活动受限。大多数病例通过包括物理治疗和关节内注射类固醇在内的保守治疗得以成功治愈。如果保守治疗失败，关节镜下关节囊松解术能够精确松解增厚的关节囊组织，与单纯在麻醉下进行手法松解相比，并发症风险更低，软组织创伤更小。沙滩椅位的关节镜下关节囊松解术通常需要一定程度的手法操作来松解下关节囊，而下关节囊在术中往往无法清晰看到。在这篇技术文章和视频中，我们描述并演示了侧卧位关节镜下关节囊松解术，该术式能清晰显示下关节囊，有助于进行完整的360°关节囊松解，并减少在麻醉下进行任何手法操作的必要性。
