Distal release for deltoid contracture in adults

Between 1985 and 1991, 25 adults (32 shoulders) with deltoid contractures who underwent distal release were retrospectively evaluated. The clinical manifestations consisted of abduction contracture of shoulder (100%), shoulder pain (100%) and winging of the scapula (80%). All patients were treated with a distal release by detaching the insertion of deltoid muscle along with subperiosteal stripping. Follow-up ranged from 2 to 8 years with the average being 4 years. All shoulders achieved a complete disappearance of abduction contracture and relief of pain after 3 months of follow-up. There were no wound infections or dehiscence. No recurrences of deltoid contracture were found. Shoulder pain is a common clinical manifestation of deltoid contracture in adult and is a primary indicator for surgery. Differentiating the diagnosis from cervical spondylosis or frozen shoulder requires a careful physical examination. Distal release of deltoid contractures can achieve excellent clinical results with minimal morbidity.