Capsuloraphy arthropathy is most commonly treated with which group of surgery?

• A. RCR
• B. Total shoulder arthroplasty
• C. Shoulder arthrodesis
• D. Acromioclavicular reconstruction

Answer: (A)

Capsuloraphy arthropathy arises when the glenohumeral joint degenerates after capsular tightening for instability, often with accompanying rotator cuff changes that alter shoulder mechanics. Addressing the rotator cuff directly with a repair helps restore the normal force couples around the humeral head, re-centering the joint and reducing pain and dysfunction. This makes rotator cuff repair the most effective initial surgical approach for this condition. In contrast, procedures targeting the acromioclavicular joint or fusion don’t fix the glenohumeral pathology, and total shoulder arthroplasty is usually reserved for more advanced arthritis rather than the typical presentation of capsuloraphy arthropathy.