We prefer the use of an arthroscopic basket to complete the inferior capsular release while minimizing potential for damage to the axillary nerve. |
Pad and carefully position all bony prominences and the contralateral arm when positioning patient in lateral decubitus position. |
Document detailed examination both in the office and under anesthesia, including range of motion in all planes. |
Careful dissection near the 6 o'clock position to avoid axillary nerve damage. |
Visualization of rotator cuff musculature circumferentially confirms complete capsular release. |
Postoperative therapy should begin postoperative day 1 with aggressive range of motion and home continuous passive motion. Delays in therapy can compromise outcomes. |