Ventral capsular denervation. An operative treatment of periarthropathia humero-scapularis.

Based on the neuro-anatomical situation and clinical observations a new method has been developed to treat the chronically recurrent humero-scapular periarthropathy together with a contraction of the joint and sometimes tendinitis and subacromial bursitis. The new method, a ventral denervation of the capsule, causes an immediate and continuing decrease or elimination of the pain in the shoulder. An increased and painless mobilization is possible until the extensive or even total rehabilitation of the joint function. Twenty shoulder joints have been treated in 19 patients. Within a period of 12 until 28 months 12 of them became continuously painless, 2 improved considerably and 4 satisfactorily. Depending on the initial clinical result the function could be restored in 85% of the patients approximately or even totally.