TechniquesArthroscopic Release of the Stiff ArthroplastyHarrison, Alicia K. MD; Cagle, Paul MD; Braman, Jonathan P. MDAuthor Information Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN None of the authors have received funding for this research from the NIH, Wellcome Trust, or HHMI. The authors declare no conflict of interest. Reprints: Alicia K. Harrison, MD, Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue, Suite 200, Minneapolis, MN 55454 (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: December 2013 - Volume 14 - Issue 4 - p 85-87 doi: 10.1097/BTE.0000000000000001 Buy Metrics Abstract Stiffness after shoulder arthroplasty is a commonly reported complication. The mainstay of treatment for stiffness is organized physical therapy. Stiffness refractory to therapy may require surgical intervention. Our patient was a 51-year-old who underwent a shoulder hemiarthroplasty. Despite aggressive physical therapy, the patient went on to develop a painful stiff shoulder. The patient was treated with an arthroscopic release and manipulation. This technique utilizes direct arthroscopic visualization of the contracted tissues and a controlled release utilizing electrocautery and arthroscopic biters. A gentle manipulation followed by repeat arthroscopic joint inspection was then performed. This technique allows for a safe and reliable option that gives direct visualization and control. Our patient demonstrated excellent results with an increase in 65 degrees of forward elevation and 40 degrees of external rotation. The main limitations for our paper include reporting on only 1 patient and that the risks of this operative procedure following an arthroplasty are not well understood in the current literature. © 2013 by Lippincott Williams & Wilkins, Inc.