Arthroscopic release of contractures
If the shoulder is stiff due to the primary shoulder contracture or as part of a rotator cuff tear problem, then release of the shoulder is often indicated. Manipulation of the joint under anaesthetic is no longer advocated - it can be very damaging to a weak joint.
Arthroscopic release of specific areas of contracture allows a well-defined, carefully-planned operation with a highly successful outcome. The immediate postoperative physiotherapy programme is absolutely critical, and our patients start off in hospital with a specific exercise regime under nerve block to control pain, and carried on in the outpatient department in an intensive way. The risk of recurrence of the contracture has been substantially reduced with this individualised treatment.