{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:51:59Z","timestamp":1790185919967,"version":"4.1.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"5","license":[{"start":{"date-parts":[[2001,7,1]],"date-time":"2001-07-01T00:00:00Z","timestamp":993945600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2001,7]]},"abstract":"<jats:p> We present the short- and medium-term clinical results of thermal shrinkage in selected groups of patients with multidirectional or capsular stretch-type instability. We treated 56 patients (61 shoulders) by laser-assisted capsular shrinkage (LACS) and 34 patients (38 shoulders) by radiofrequency (RF) capsular shrinkage. The two groups were followed for mean periods of 40 months and 23 months, respectively. <\/jats:p><jats:p> In the LACS group the mean Walch-Duplay score improved to 90 points 18 months after the operation, but then declined to a plateau of about 80 points; 59% of patients considered their shoulders to be \u2018much better\u2019 or \u2018better\u2019 but there was a failure rate of 36.1%. For the RF group the mean Walch-Duplay and Constant scores were 80 points at the various follow-up times; 76.3% of patients considered their shoulder to be \u2018much better\u2019 or \u2018better\u2019. RF failed in nine shoulders (23.7%). These results match some clinical series of patients with multidirectional instability, undergoing open inferior capsular shift, with a similar rate of failure. We believe that the minimal morbidity involved makes thermal shrinkage a viable alternative to open capsular shift in this difficult group of patients. <\/jats:p>","DOI":"10.1302\/0301-620x.83b5.0830640","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T19:24:12Z","timestamp":1519241052000},"page":"640-645","source":"Crossref","is-referenced-by-count":134,"title":["Thermal capsular shrinkage for shoulder instability"],"prefix":"10.1302","volume":"83-B","author":[{"given":"O.","family":"Levy","sequence":"first","affiliation":[{"name":"Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Williams","sequence":"additional","affiliation":[{"name":"York District Hospital, Wigginton Road, York YO31 8HE, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. A.","family":"Bruguera","sequence":"additional","affiliation":[{"name":"Hospital San Juan de Dios, Beloso Alto 3, 31006 Pamplona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Dodenhoff","sequence":"additional","affiliation":[{"name":"Princess Royal Hospital, Apley Castle, Telford, Shropshire TF1 6TF, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Sforza","sequence":"additional","affiliation":[{"name":"Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Copeland","sequence":"additional","affiliation":[{"name":"Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B5.0830640","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B5.0830640","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:49:29Z","timestamp":1629143369000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.83B5.0830640"}},"subtitle":["MID-TERM LONGITUDINAL OUTCOME STUDY"],"short-title":[],"issued":{"date-parts":[[2001,7]]},"references-count":0,"aliases":["10.1302\/0301-620x.83b5.11374","10.1302\/0301-620x.83b5.11374"],"journal-issue":{"issue":"5","published-print":{"date-parts":[[2001,7]]}},"alternative-id":["10.1302\/0301-620X.83B5.0830640"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.83b5.0830640","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,7]]}}}