Pre-Operative Information

Shoulder Arthroscopy and Capsular Release

• You have been diagnosed with a frozen shoulder

• In this condition the lining of the shoulder joint (the capsule) has become thickened and scarred and is preventing movement of the shoulder

• This may be managed with a guided injection into the shoulder.

• You have agreed with Mr Griffiths that the next sensible step is a keyhole operation to treat this condition.

• This is called an Arthroscopic Capsular release

• This operation is usually performed as a Daycase with no need for an overnight stay.

• It is normally performed under general anaesthetic (with you asleep) and the anaesthetist may also block the nerves of the arm.

• The operation is performed though several small incisions around the shoulder and involves the surgical release of the tight shoulder capsule to allow the restoration of movement.

• This is usually followed by a gentle manipulation of the shoulder.

• The procedure takes 45-60 mins

• Wounds are usually closed with dissolvable stitches

• The aim of the surgery is to improve the range of movement of the shoulder, improve the pain and help to restore the function of the shoulder.

• There are obviously risks of the operation but these are generally small. They include infection, recurrent stiffness, scarring and incomplete resolution of symptoms. There is a very small risk of fracture of the arm associated with the manipulation. The shoulder is often painful for several weeks but normally by 6 weeks things are improving.

• After the operation:

  • You will see the physiotherapist prior to your discharge. They will show you how to release your arm from the sling and do specific exercises with the arm.

  • It is important to keep the arm moving and painkillers should be taken to facilitate this

• You will have a follow-up appointment at 2 weeks

• The stitches will be trimmed prior to seeing Mr Griffiths

• You should expect significant recovery by 6 weeks but will continue to recover for 6 months

Return to Functional Activities

Driving                            Once ROM and muscular power                                                         restored & you feels safe

Swimming                       As pain allows

Golf                                  6 weeks

Racquet Sports            2-3 months

Lifting                           As able

Work                               Sedentary - As able

                                         Manual - 6 weeks, may need to modify                                               activity for 3 months