Arthroscopic Release of Adhesive Capsulitis of the Shoulder Complicated With Shoulder Dislocation and Brachial Plexus Injury


The incidence of brachial plexus injury after shoulder dislocation or arthroscopic shoulder surgery is low. Complex regional pain syndrome (CRPS) is an uncommon but painful condition that can develop after nerve injury. Historically, CRPS has been difficult to treat and therapeutic efforts are sometimes limited to ameliorating symptoms. However, if a dystrophic focus can be identified, the condition can be addressed with surgical exploration for potential neurolysis or nerve repair. The present article reports on a case of type II CRPS that developed in the postoperative setting of arthroscopic shoulder surgery complicated with simple shoulder dislocation. (Journal of Surgical Orthopaedic Advances 25(2):114–116, 2016)
Key words: adhesive capsulitis, brachial plexus injury, causalgia, complex regional pain syndrome, nerve injury, shoulder dislocation

Fiesky A. Nunez, Jr., MD; Anastasios Papadonikolakis, MD; and Zhongyu Li, MD, PhD