Clinical Outcomes of Arthroscopic 360° Capsular Release for Idiopathic Adhesive Capsulitis in Beach Chair Position.


  • M. Amir Sohail Assistant Professor Orthopedic Surgery, Jinnah Hospital, Lahore
  • Tooba Mazhar Physiotherapist Orthopedics Surgery, Jinnah Hospital, Lahore
  • Iram Saddique Orthopedics Surgery, Jinnah Hospital, Lahore
  • Akmal Zaib Orthopedic Surgery, Jinnah Hospital, Lahore


Capsular Release, Adhesive Capsulitis, frozen shoulder, Beach chair position


Objective: To study the clinical consequences Outcome after Arthroscopic 360 capsular release in beach Chair position for Idiopathic Adhesive Capsulitis (Frozen Shoulder) that had not been improved after any other intervention for at least 6 months.

Methodology: In this study, 40 shoulders were examined in 40 participants who had adhesive capsulitis and had arthroscopic capsular release between 2018 to 2022 in Jinnah Hospital, Lahore. An ordinary Follow-up examination was were conducted at 3, 6, and 9 months after Post procedure (Follow up rate was 90 %). Preoperatively and at the follow-up exam following surgery, Range of motion and pain were assessed. Preoperatively and postoperatively, pain and Range of motion were compared using statistical analysis SPSS Version 21. Level of significance was set at p<0.05.

Results: The In This study revealed that out of 40 Participants, 29 (72.5%) were females and 11 (27.5%) were males contributed in the study. The mean age was of 55.4 ± 8.6 years. Out of 40 Participants, 18 (45%) had moderate pain in their shoulders and 22 (55%) had severe pain in their shoulder. When experienced The arthroscopic release was performed in beach chair position, Active forward flexion improved from 126 ± 9.636 to 146.8 ± 8.76 degrees 9 months post operatively. The pain range improved with the mean of 7.60 ± 1.08 Pre Procedure to 2.15 ± 1.14 at 9 Months Post Operatively.

Conclusion: For Patients with idiopathic adhesive capsulitis were treated in the Beach chair posture Position with arthroscopic 360° capsular release result This result in great improved functional outcomes, a significant early and long-lasting improvement in range of motion, as well as low rates of revision and complications.


Cvetanovich GL, Leroux TS, Bernardoni ED, Hamamoto JT, Saltzman BM, Verma NN, et al. Clinical Outcomes of Arthroscopic 360° Capsular Release for Idiopathic Adhesive Capsulitis in the Lateral Decubitus Position. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2018;34(3):764-70.

Grant JA, Schroeder N, Miller BS, Carpenter JE. Comparison of manipulation and arthroscopic capsular release for adhesive capsulitis: a systematic review. Journal of Shoulder and Elbow Surgery. 2013;22(8):1135-45.

Surendran S, Patinharayil G, Karuppal R, Marthya A, Fazil M, Mohammed Ali S. Arthroscopic capsular release and continuous upper arm brachial block in frozen shoulder – A midterm outcome analysis. Journal of Orthopaedics. 2020;21:459-64.

Houck DA, Belk JW, Vidal AF, McCarty EC, Bravman JT, Seidl AJ, et al. Outcomes of Arthroscopic Capsular Release in the Beach-Chair Versus Lateral Decubitus Position: A Systematic Review. Orthop J Sports Med. 2019;7(12):2325967119888173.

Jadhav U, Gotecha D. Arthroscopic 360 degrees capsular release for treatment of adhesive capsulitis–A study of 40 cases. International Journal of Orthopaedics. 2017;3(1):649-54.

Cho C-H, Kim D-H, Lee Y-K. Serial Comparison of Clinical Outcomes After Arthroscopic Capsular Release for Refractory Frozen Shoulder With and Without Diabetes. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2016;32(8):1515-20.

Robinson C, Seah KM, Chee Y, Hindle P, Murray I. Frozen shoulder. The Journal of bone and joint surgery British volume. 2012;94(1):1-9.

Jerosch J, Nasef NM, Peters O, Mansour AMR. Mid-term results following arthroscopic capsular release in patients with primary and secondary adhesive shoulder capsulitis. Knee surgery, sports traumatology, arthroscopy. 2013;21(5):1195-202.

Vastamäki H, Kettunen J, Vastamäki M. The natural history of idiopathic frozen shoulder: a 2-to 27-year followup study. Clinical Orthopaedics and Related Research®. 2012;470(4):1133-43.

Sivasubramanian H, Chua CXK, Lim SY, Manohara R, Ng ZWD, V PK, et al. Arthroscopic capsular release to treat idiopathic frozen shoulder: How much release is needed? Orthopaedics & Traumatology: Surgery & Research. 2021;107(1):102766.

Puah KL, Salieh MS, Yeo W, Tan AHC. Outcomes of arthroscopic capsular release for the diabetic frozen shoulder in Asian patients. J Orthop Surg (Hong Kong). 2018;26(1):2309499018757572.

Berghs BM, Sole-Molins X, Bunker TD. Arthroscopic release of adhesive capsulitis. Journal of shoulder and elbow surgery. 2004;13(2):180-5.

Cutbush K, Italia K, Narasimhan R, Gupta A. Frozen Shoulder 360° Release. Arthroscopy Techniques. 2021;10(4):e963-e7.

Kim DH, Song KS, Min BW, Bae KC, Lim YJ, Cho CH. Early Clinical Outcomes of Manipulation under Anesthesia for Refractory Adhesive Capsulitis: Comparison with Arthroscopic Capsular Release. Clin Orthop Surg. 2020;12(2):217-23.

Arce G. Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release. Arthroscopy Techniques. 2015;4(6):e717-e20.

Elhassan B, Ozbaydar M, Massimini D, Higgins L, Warner JJ. Arthroscopic capsular release for refractory shoulder stiffness: a critical analysis of effectiveness in specific etiologies. Journal of shoulder and elbow surgery. 2010;19(4):580-7.

Ebrahimzadeh MH, Moradi A, Pour MK, Moghadam MH, Kachooei AR. Clinical outcomes after arthroscopic release for recalcitrant frozen shoulder. Archives of Bone and Joint Surgery. 2014;2(3):220.

Lafosse L, Boyle S, Kordasiewicz B, Guttierez-Arramberi M, Fritsch B, Meller R. Arthroscopic arthrolysis for recalcitrant frozen shoulder: a lateral approach. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2012;28(7):916-23.

Yoo JC, Koh KH, Shon MS, Bae KH, Lim TK. Clinical Outcome after Arthroscopic Capsular Release for Adhesive Capsulitis of the Shoulder. Clin Shoulder Elb. 2018;21(3):127-33.

Yoo JC, Ahn JH, Lee YS, Koh KH. Magnetic resonance arthrographic findings of presumed stage-2 adhesive capsulitis: focus on combined rotator cuff pathology. Orthopedics (Online). 2009;32(1):22.

Nicholson GP. Arthroscopic capsular release for stiff shoulders. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2003;19(1):40-9.

Ide J, Takagi K. Early and long-term results of arthroscopic treatment for shoulder stiffness. Journal of shoulder and elbow surgery. 2004;13(2):174-9.

Additional Files



How to Cite

Clinical Outcomes of Arthroscopic 360° Capsular Release for Idiopathic Adhesive Capsulitis in Beach Chair Position. (2023). Journal of Pakistan Orthopaedic Association, 35(2), 01-07.

Similar Articles

1-10 of 48

You may also start an advanced similarity search for this article.