A comparative study between arthroscopic anterior capsular release and pan capsular release among patients with adhesive capsulitis

Objectives: Arthroscopic capsular release is a minimally invasive surgical procedure designed to relieve pain and restore mobility in patients with adhesive capsulitis, commonly known as frozen shoulder. This prospective research aims to compare two different approaches for arthroscopic capsular release in the outcome of frozen shoulder cases. Materials and Methods: 120 patients who received capsular release surgery were the subjects of our study. Two groups were formed from the patients. Arthroscopic anterior capsular release, rotator interval release, and coracohumeral release had been performed on the first group. The second group underwent pan capsular release (including the posterior capsule), rotator interval release, with coracohumeral release. Both groups were subjected to triamcinolone intra-articular injection at the end of the procedure. On the 1 st post-operative day, the patients received routine physical therapy. All patients had been monitored at 2 weeks, 6 weeks, 6 months, 1 year, 18 months, as well as 2 years using the Visual Analog Scale (VAS), as well as Constant– Murley ratings. Results: Postoperatively, both groups exhibited statistically significant enhancement in the range of motion, VAS scores, as well as Constant–Murley scores; however, the difference was not statistically significant. All instances had no axillary nerve damage. Conclusion: Our study confirms that pan capsular releases do not have any added advantage compared to other methods. Intra-articular steroid at the end of the procedure improves the outcome.