Arthrolysis: Capsular Release for Adhesive Capsulitis

Frozen shoulder, caused by capsular fibrotic adhesions, can induce debilitating pain and functional reduction. Arthrolysis is indicated in patients that do not respond to conservative management. A rotator interval and anterior release can be performed initially, followed by a posterior release if the capsule remains tight. Extensive capsulotomy can precipitate instability and should be avoided.