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Thermal Energy for Shoulder Instability

The surgical treatment of shoulder instability has traditionally been a controversial topic. The complexity stems from the critical balance that must be achieved between surgical constraint and the essential mobility necessary for the activities of daily living as well as athletic endeavors. The multifaceted nature of shoulder instability coupled with advances in technology has led to the development of many novel techniques for treatment. Although open procedures have long been regarded as the gold standard, the utilization of arthroscopic thermal capsulorraphy as a treatment option has received considerable attention in recent years. Because of early favorable results and the ease of application, the indications expanded rapidly without substantial long term clinical data. Additional reports of complications of thermal use in the shoulder continue to emerge in the literature. Until further scientific evidence is presented, vigilance is the safest approach with this investigational technique.