{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T01:17:35Z","timestamp":1784769455435,"version":"3.55.0"},"reference-count":55,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2004,1,1]],"date-time":"2004-01-01T00:00:00Z","timestamp":1072915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2004,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Thermal shrinkage of capsular tissue has recently been proposed as a means to address the capsular redundancyassociated with shoulder instability. Although this procedure has become very popular, minimal peer-reviewed literature isavailable to justify its widespread use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To prospectively evaluate the efficacy of arthroscopic electrothermal capsulorrhaphy for the treatment of shoulderinstability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>This nonrandomized prospective study evaluated the indications and results of thermal capsulorrhaphy in 84shoulders with an average follow-up of 38 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were divided into three clinical subgroups: traumatic anterior dislocation (acute or recurrent), recurrent anterioranterior\/inferior subluxation without prior dislocation, and multidirectional instability. Patients underwent arthroscopic thermalcapsulorrhaphy after initial assessment, radiographs, and failure of a minimum of 3 months of nonoperative rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Outcome measures included pain, recurrent instability, return to work\/sports, and the American Shoulder and ElbowSurgeons (ASES) Shoulder Assessment score. Overall results were excellent in 33 participants (39%), satisfactory in 20 (24%),and unsatisfactory in 31 (37%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The high rate of unsatisfactory overall results (37%), documented with longer follow-up, is of great concern. Theauthors conclude that enthusiasm for thermal capsulorrhaphy should be tempered until further studies document its efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0095399703258735","type":"journal-article","created":{"date-parts":[[2004,2,2]],"date-time":"2004-02-02T16:15:49Z","timestamp":1075738549000},"page":"21-33","source":"Crossref","is-referenced-by-count":120,"title":["Prospective Evaluation of Thermal Capsulorrhaphy for Shoulder Instability"],"prefix":"10.1177","volume":"32","author":[{"given":"Donald F.","family":"D'Alessandro","sequence":"first","affiliation":[{"name":"Shoulder and Elbow Center, Miller Orthopaedic Clinic, Charlotte, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P.","family":"Bradley","sequence":"additional","affiliation":[{"name":"Burke and Bradley Orthopaedics, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James 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