The Role of Thermal Energy in Shoulder Instability Surgery

• Published in: Sports medicine and arthroscopy review Vol. 13; no. 4; pp. 225 - 231
• Main Authors: Terry, Glenn C, Miskovsky, Shana N, Kelly, R Lance
• Format: Journal Article
• Language: English
• Published: 01-12-2005
• ISSN: 1062-8592
• DOI: 10.1097/01.jsa.0000189963.54791.0c

The goal of shoulder stabilization procedures is to restore normal shoulder biomechanics. Open techniques are associated with a high morbidity rate. In contrast arthroscopic capsulolabral reconstructions minimize motion loss and recovery time but have been associated with a higher failure rate because of residual capsular laxity. Enthusiasm for the use of thermal energy in shoulder instability surgery has developed because of visual capsular changes and findings of decreased capsular volume. Indications and factors influencing outcome are still being explored. In this study, the authors review several aspects of thermal capsulorrhaphy: clinical applications, techniques, complications, and postoperative rehabilitation. Additionally, the authors describe their experience with thermal capsulorrhaphy as an adjunct procedure in 40 high-demand throwing athletes with internal impingement and subtle anterior-superior instability. At an average of 2.9 years of postsurgical follow up, 95% of these athletes returned to their preinjury or higher level of competitive sport and throwing intensity.