Adhesive capsulitis (AC) develops spontaneously without a known cause and is a common
cause of painful shoulder. The natural history of AC can last until 36 months and
it is classically considered a self-limiting entity, however there is a high rate
of refractory cases to conventional treatment with residual deficits during years.
There is no consensus on the therapeutic guidelines to be followed in patients with
AC. Several authors have pointed out the relevance of hypervascularization of the
capsule in the pathophysiology of AC, that is why the objective of transarterial embolization
(TAE) is to decrease the abnormal vascularization responsible for the inflammatory-fibrotic
state that occurs in AC. TAE has now emerged as a therapeutic option in refractory
patients. We describe the most important technical aspects of TAE and review the current
literature on arterial embolization as a treatment for AC.
Keywords
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Article info
Publication history
Published online: December 22, 2022
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In Press Corrected ProofFootnotes
Disclosure: The author reports no potential conflicts of interest.
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