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The Joint Letter in Brief

120 Thermal Shrinkage Won’t Solve MDI Doctors shouldn’t look to thermal capsulorrhaphy to solve vexing multi-directional instability (MDI) in the shoulder of an athlete. In a small case series, thermal shrinkage proved to have dismal results. Anthony Miniaci, MD, and colleagues employed the thermal technique to shrink the capsules of 19 patients diagnosed with MDI over two years. They reassessed the patients at seven intervals for a subsequent two years. Instability recurred in nine of the 19 at an average of nine months postoperatively (7–14 months). Four experienced transient neurological are self-evident,” he commented. (Presented at the annual meeting of the American Orthopaedic Society for Sports Medicine, Keystone, CO, 2001.)