• Stephan Lorenz
  • Matthias J. Feucht
  • Tobias M. Kraus


Persistent symptomatic motion deficit despite intensive and prolonged conservative treatment (> 6 months) due to adhesive capsulitis after subsidence of symptoms of inflammation.

Arthroscopic perilabral capsulotomy with preservation of the glenoid labrum, rotator interval release, coracohumeral ligament resection and delineation of the subscapularis tendon.

  • Symptom specific history: duration of complaints, trigger (trauma, surgery, immobilization, idiopathic), previous treatment modalities, relevant comorbidities (e. g. diabetes mellitus, hyperthyroidism, autoimmune diseases, Dupuytren contracture)

  • Symptom specific examination: range of motion (active and passive, capsular volume and pattern), exclusion of other causes of restriction of motion (e. g. rotator cuff massive tear with pseudo-paralysis or neurological disorders)

Exclusion of lesions of the brachial plexus, axillary or suprascapular nerves.

  • X-rays of the shoulder in three views (true AP, y-view, axial) to exclude a secondary frozen shoulder due to mechanical disorders (e. g. dislocated implants, malunited healed fracture or osteophytes)

  • MRI (optionally with intraarticular contrast agent) to evaluate assess scarring/hypertrophy of the coracohumeral ligament, the joint capsule and the rotator interval; exclusion of concomitant pathologies (e. g. rotator cuff lesions, pulley lesion, SLAP lesion).

  • CT (CT-arthrography if indicated) only in exceptional cases with metal artefacts in the MRI and to eventual mechanical disturbances (e. g. malunited healed fracture, osteophytes, loose bodies)


Rotator Cuff Brachial Plexus Axillary Nerve Adhesive Capsulitis Subscapularis Tendon 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Literature to Chapter 7.1

  1. Ide J, Takagi K (2004) Early and long‐term results of arthroscopic treatment for shoulder stiffness. J Shoulder Elbow Surg 13:174–179PubMedCrossRefGoogle Scholar
  2. Jerosch J (2001) 360 ° arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint: indication, surgical technique, results. Knee Surg Sports Traumatol Arthrosc 360(9):178–186CrossRefGoogle Scholar
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Literature to chapter 7.2

  1. Petilon J, Carr DR, Sekiya JK, Unger DV (2005) pectoralis major muscle injuries: evaluation and management. J Am Acad Orthop Surg 13:59–68PubMedGoogle Scholar
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Literature to chapter 7.3

  1. Agneskirchner JD, Haag M, Lafosse L (2010) Arthroscopic treatment of nerve entrapment lesions and periglenoid ganglia of the shoulder joint. Arthroskopie 23:304–331CrossRefGoogle Scholar
  2. Lafosse L, Piper K, Lanz U (2011) Arthroscopic suprascapular nerve release: indications and technique. J Shoulder Elbow Surg 20:S13–S19CrossRefGoogle Scholar
  3. Lafosse L, Tomasi A, Corbett S, Baier G, Willems K, Gobezie R (2007) Arthroscopic release of suprascapular nerve entrapment at the suprascapular notch: technique and preliminary results. Arthroscopy 23:34–42PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Stephan Lorenz
    • 1
  • Matthias J. Feucht
    • 1
  • Tobias M. Kraus
    • 2
  1. 1.Department of Orthopaedic Sports MedicineHospital Rechts der Isar, Technische Universität MünchenMunichGermany
  2. 2.Department of Trauma and Reconstructive SurgeryTübingen BG Trauma Center, Eberhard-Karls UniversityTübingenGermany

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