Published online Nov 18, 2020. doi: 10.5312/wjo.v11.i11.516
Peer-review started: March 2, 2020
First decision: September 11, 2020
Revised: September 22, 2020
Accepted: October 9, 2020
Article in press: October 9, 2020
Published online: November 18, 2020
The brisement manipulation is an effective treatment for refractory shoulder stiffness. Rotator cuff tears can sometimes exist in combination with adhesive capsulitis. Arthroscopic capsular release combined with rotator cuff repair has achieved good outcomes in published reports.
We report the case of a patient with right shoulder pain for more than 1 year that was suspected to have adhesive capsulitis and a rotator cuff tear that was treated with brisement manipulation and arthroscopic management. An iatrogenic glenoid fracture with shoulder instability occurred during the manipulation. Arthroscopic treatment for fracture fixation, capsular release, and rotator cuff repair was performed, and the functional results are reported.
Arthroscopic fixation for iatrogenic glenoid fracture and repairing coexisting rotator cuff tear can provide the stability needed for early rehabilitation.
Core Tip: Manipulation under anesthesia is an effective treatment for refractory stiff shoulder, but some severe complications have been reported. We present a rare case of rotator cuff tear and antero-inferior glenoid rim fracture combined with shoulder instability after manipulation for shoulder stiffness. Arthroscopic repair of the glenoid fracture and concomitant rotator cuff tear was performed. A good outcome was achieved with this treatment in the 2-year postoperative follow-ups.