Interventional Radiology's Role in the Treatment of Adhesive Capsulitis

Monday, March 6, 2023

5:15 PM – 5:20 PM

Location: Phoenix Convention Center, North Ballroom 120ABC, Poster Hall

Abstract Presenter(s)

David Swilling, BS

Research Intern
NYU Grossman School of Medicine

Disclosure(s): No financial relationships to disclose

Author/Co-author(s)

RH

Ryan Hickey, MD

Associate Professor
NYU Grossman School of Medicine
Frederic Bertino, MD

Clinical Assistant Professor; Director of Pediatric Interventional Radiology
Department of Radiology at NYU Grossman School of Medicine
Bedros Taslakian, MD, EBIR

Director of VIR Research Program; Director of Clinical Research Integration
NYU Grossman School of Medicine Program

Disclosure(s):

David Swilling, BS: No financial relationships to disclose

Bedros Taslakian, MD, EBIR: Advarra: Consultant (Ongoing), Independent Contractor (Ongoing); Atheneum: Consultant (Ongoing); Elsevier: Royalties (Ongoing); Guidepoint: Consultant (Ongoing); Siemens: Contracted Research (Ongoing); Varian Medical Systems: Contracted Research (Ongoing)

Learning Objectives: 1. Understand the pathophysiology of adhesive capsulitis and its implications for trans-arterial embolization (TAE).
2. Review the procedural details of TAE for adhesive capsulitis.
3. Summarize the current literature on the safety and efficacy of TAE for adhesive capsulitis.

Background:

Adhesive capsulitis is a shoulder condition characterized by shoulder pain and loss of both passive and active range of motion that affects 3-5% of the population. Patients are typically offered conservative treatment options including physical therapy, NSAIDs, or intra-articular corticosteroids. Operative management for cases refractory to conservative therapy includes manipulation under anesthesia and arthroscopic capsulotomy. Recent clinical trials have investigated the use of TAE for the treatment of adhesive capsulitis.

Clinical Findings/Procedure Details:

Review the pathogenesis of adhesive capsulitis.

Discuss the effect of TAE on the pathophysiology of adhesive capsulitis and its therapeutic role.

Outline the procedural details.

Showcase pathological findings on angiograms.

Review the current literature on TAE for adhesive capsulitis with a focus on the efficacy and safety profile.

Conclusion and/or Teaching Points:

Recent clinical trials have shown TAE to be both safe and efficacious for treating adhesive capsulitis resistant to conservative therapies. In this educational exhibit, we discuss the pathophysiology of the disease and the role of TAE.