Original Article| Volume 31, ISSUE 3, P494-500, March 2015

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Arthroscopic Debridement and Capsular Release for the Treatment of Shoulder Osteoarthritis

Published:November 08, 2014DOI:


      The purpose of this study was to evaluate patients who underwent isolated arthroscopic debridement and capsular release without any other procedures for primary glenohumeral osteoarthritis to determine clinical and functional outcomes and time until conversion to shoulder arthroplasty.


      We performed a retrospective review of 33 patients who underwent arthroscopic debridement and capsular release for shoulder osteoarthritis at our institution between 2006 and 2011. All procedures were performed by a single surgeon (K.Y.). Patients were evaluated for intraoperative arthritis grade, preoperative and postoperative range or motion, American Shoulder and Elbow Surgeons (ASES) score, pain score self-assessments, radiographic evaluation, and conversion to total shoulder arthroplasty. Clinical follow-up was on average 40.3 weeks postoperatively and telephone interview follow-up was performed at a minimum of 2 years postoperatively in all patients.


      There was an initial improvement in range of motion and pain scores; however, patients in our study returned to preoperative levels approximately 3.8 months after debridement and capsular release. Twenty patients (60.6%) reported that they were not satisfied with the outcome of the procedure. Total shoulder arthroplasty was undertaken in 14 (42.4%) patients an average of 8.8 months after arthroscopy. Among the 19 (57.6%) patients who did not go on to have total shoulder arthroplasty, ASES scores (42.2 to 50.8; P = .41) and visual analog scale pain scores (7.8 to 7.4; P = .59) were similar preoperatively and at final telephone follow-up.


      Isolated arthroscopic debridement and capsular release without any other procedures were associated with only temporary pain relief and improvement in motion. Although there are limited nonarthroplasty surgical options available for glenohumeral arthritis, isolated arthroscopic debridement and capsular release may not provide substantial benefit to justify its use in most patients.

      Level of Evidence

      Level IV, therapeutic case series.
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        • Carter M.J.
        • Mikuls T.R.
        • Nayak S.
        • Fehringer E.V.
        • Michaud K.
        Impact of total shoulder arthroplasty on generic and shoulder-specific health-related quality-of-life measures: A systematic literature review and meta-analysis.
        J Bone Joint Surg Am. 2012; 94: e1271-e1279
        • Matsen III, F.A.
        Early effectiveness of shoulder arthroplasty for patients who have primary glenohumeral degenerative joint disease.
        J Bone Joint Surg Am. 1996; 78: 260-264
        • Ogilvie-Harris D.J.
        • Wiley A.M.
        Arthroscopic surgery of the shoulder. A general appraisal.
        J Bone Joint Surg Br. 1986; 68: 201-207
        • Millett P.J.
        • Gaskill T.R.
        Arthroscopic management of glenohumeral arthrosis: humeral osteoplasty, capsular release, and arthroscopic axillary nerve release as a joint-preserving approach.
        Arthroscopy. 2011; 27: 1296-1303
        • Richards D.P.
        • Burkhart S.S.
        Arthroscopic debridement and capsular release for glenohumeral osteoarthritis.
        Arthroscopy. 2007; 23: 1019-1022
        • Cameron B.D.
        • Galatz L.M.
        • Ramsey M.L.
        • Williams G.R.
        • Iannotti J.P.
        Non-prosthetic management of grade IV osteochondral lesions of the glenohumeral joint.
        J Shoulder Elbow Surg. 2002; 11: 25-32
        • Van Thiel G.S.
        • Sheehan S.
        • Frank R.M.
        • et al.
        Retrospective analysis of arthroscopic management of glenohumeral degenerative disease.
        Arthroscopy. 2010; 26: 1451-1455
        • Ogilvie-Harris D.J.
        • Gordon R.
        • MacKay M.
        Arthroscopic treatment for posterior impingement in degenerative arthritis of the elbow.
        Arthroscopy. 1995; 11: 437-443
        • Weinstein D.M.
        • Bucchieri J.S.
        • Pollock R.G.
        • Flatow E.L.
        • Bigliani L.U.
        Arthroscopic debridement of the shoulder for osteoarthritis.
        Arthroscopy. 2000; 16: 471-476
        • Richards R.R.
        • An K.N.
        • Bigliani L.U.
        • et al.
        A standardized method for the assessment of shoulder function.
        J Shoulder Elbow Surg. 1994; 3: 347-352
        • Samilson R.L.
        • Prieto V.
        Dislocation arthropathy of the shoulder.
        J Bone Joint Surg Am. 1983; 65: 456-460
        • Ilg A.
        • Bankes M.
        • Emery R.
        The intra- and inter-observer reliability of the Samilson and Prieto grading system of glenohumeral arthropathy.
        Knee Surg Sports Traumatol Arthrosc. 2001; 9: 187-190
        • Yamaguchi K.
        • Sethi N.
        • Bauer G.S.
        Postoperative pain control following arthroscopic release of adhesive capsulitis.
        Arthroscopy. 2002; 18: 359-365
        • Namdari S.
        • Skelley N.
        • Keener J.D.
        • Galatz L.M.
        • Yamaguchi K.
        What Is the role of arthroscopic debridement for glenohumeral arthritis? A critical examination of the literature.
        Arthroscopy. 2013; 29: 1392-1398
        • Guyette T.M.
        • Bae H.
        • Warren R.F.
        • Craig E.
        • Wickiewicz T.L.
        Results of arthroscopic subacromial decompression in patients with subacromial impingement and glenohumeral degenerative joint disease.
        J Shoulder Elbow Surg. 2002; 11: 299-304
        • Kerr B.J.
        • McCarty E.C.
        Outcome of arthroscopic débridement is worse for patients with glenohumeral arthritis of both sides of the joint.
        Clin Orthop Relat Res. 2008; 466: 634-638
        • Marecek G.S.
        • Saltzman M.D.
        Complications in shoulder arthroscopy.
        Orthopedics. 2010; 33: 492-497
        • De Wachter J.
        • Van Glabbeek F.
        • van Riet R.
        • Van Leemput W.
        • Vermeyen K.
        • Somville J.
        Surrounding soft tissue pressure during shoulder arthroscopy.
        Acta Orthop Belg. 2005; 71: 521-527