Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study

Yoshihiro Hagiwara, Kenji Kanazawa, Akira Ando, Takuya Sekiguchi, Masashi Koide, Yutaka Yabe, Eiji Itoi

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Proximal humeral fractures are one of the most common fractures in adults. Some patients treated operatively have restriction in range of motion (ROM) after surgery. This study aimed to evaluate arthroscopic pancapsular release in patients with severe stiffness after treatment with intramedullary nailing for proximal humeral fractures. Methods: This study included 12 patients (7 women and 5 men) who underwent arthroscopic pancapsular release in the beach-chair position between May 2015 and February 2018. Intraoperative findings were recorded, and ordinary (with scapulothoracic motion) and true (without scapulothoracic motion) glenohumeral ROMs were measured with a goniometer. The American Shoulder and Elbow Surgeons shoulder score, Shoulder Rating Scale score of the University of California, Los Angeles scoring system, and Constant score were compared before and after the release. The Wilcoxon signed rank and Mann-Whitney U tests were used to analyze data. Results: The average age of the patients was 65.1 years (standard deviation, 9.5 years), and the mean follow-up period after the release was 30.6 months (standard deviation, 11.7 months). All ROMs on the affected side after surgery were significantly greater than those before surgery in all directions. However, ROMs in forward flexion, lateral elevation, and external rotation with the arm at the side and at 90° of forward flexion on the affected side postoperatively were significantly lower than those on the unaffected side. All scores were significantly greater after surgery than before surgery. Conclusion: Arthroscopic pancapsular release is effective for patients with proximal humeral fractures treated with intramedullary nailing.

Original languageEnglish
Pages (from-to)546-550
Number of pages5
JournalJSES International
Volume4
Issue number3
DOIs
Publication statusPublished - 2020 Sep

Keywords

  • Case Series
  • Level IV
  • Shoulder stiffness
  • Treatment Study
  • arthroscopic capsular release
  • frozen shoulder
  • post-traumatic
  • proximal humeral fracture
  • range of motion

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Fingerprint

Dive into the research topics of 'Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study'. Together they form a unique fingerprint.

Cite this