If it becomes difficult to maintain 150 degrees of flexion, we have found that a gentle manipulation under anesthesia (no surgical incision required) can get the shoulder back on track. This is ideally performed within the first 8 weeks after surgery, so careful attention to the progress in range of motion is important. In this procedure, the patient is put to sleep for five minutes during which muscle relaxation is achieved and the shoulder is gently moved through a full range of motion to break up any adhesions. Because nothing is cut in this procedure, the patient can resume exercises and activities immediately afterwards.
If stiffness is a problem later on, after healing is complete, we use a formal open release to re-establish the range of motion.
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