Last update:

   28-Sep-2019
 

Arch Hellen Med, 37(5), September-October 2019, 606-610

REVIEW

Posterior shoulder capsule contracture. The precursor of significant shoulder disorders

G. Mouzopoulos, A. Tsembeli
Department of Orthopedics, General Hospital of Laconia, Sparta, Greece

Posterior capsular contracture is a common cause of pain on the posterior aspect of the shoulder, associated with restriction of internal rotation. This condition often is misdiagnosed. It is sometimes associated with subacromial impingement, pathology of the biceps tendon or tears in the glenoid labrum. When the posterior capsular contracture is treated successfully, the impingement pathology often resolves. Initial management of posterior capsular contracture should be conservative. Stretching programmes usually restore the normal range of motion and eliminate the pain. In resistent cases, arthroscopic posterior capsule release is indicated.

Key words: Contracture, Posterior capsule, Shoulder, Shoulder internal rotation, Subacromial impingement.


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