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Orthopaedics & Traumatology: Surgery & Research
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le lundi 18 juin 2018
Doi : 10.1016/j.otsr.2018.01.016
Received : 4 Mars 2017 ;  accepted : 17 January 2018
Ultrasound-guided coracohumeral ligament release
 

K. Yukata a, b, c, , T. Goto a , T. Sakai a , H. Fujii c , J. Hamawaki b , N. Yasui a
a Department of Orthopedics, Tokushima University Hospital, 3-18-15 Kuramoto, 770-8503 Tokushima, Japan 
b Department of Orthopedic Surgery, Hamawaki Orthopaedic Hospital, 4-6-6 Otemachi Naka-ku, 730-0051 Hiroshima, Japan 
c Department of Orthopedic Surgery, Ogori Daiichi General Hospital, 862-3 Ogori-Shimogo, 754-0002 Yamaguchi, Japan 

Corresponding author. Department of Orthopedic Surgery, Ogori Daiichi General Hospital, 862-3 Ogori-Shimogo, 754-0002 Yamaguchi, Japan.Department of Orthopedic Surgery, Ogori Daiichi General Hospital, 862-3 Ogori-Shimogo, 754-0002 Yamaguchi, Japan.
Abstract

Long-term follow-up of patients with adhesive capsulitis (AC) reveals that approximately half of them suffer from a limited range of shoulder motion, particularly external and/or internal rotation. We report the surgical technique and short-term clinical outcomes of ultrasound-guided release of the thickened coracohumeral (CH) ligament in 8 patients (9 shoulders) with AC. Passive external rotation with the arm by the side significantly increased from an average of 18° preoperatively to 47° immediately after CH ligament release. VAS and ASES scores were improved at 3months follow-up in all 9 shoulders, and maintained at 6months follow-up in 6 shoulders. No procedure-related adverse events developed over the 6-month follow-up period. Ultrasound-guided release for thickened CH ligament is a reliable and effective minimally invasive surgery for persistent limited external rotation due to AC of the shoulder.

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Keywords : Adhesive capsulitis, Coracohumeral ligament, Frozen shoulder, Release, Ultrasound




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