Review ArticleThe Role of Thermal Energy in Shoulder Instability SurgeryTerry, Glenn C MD*; Miskovsky, Shana N MD†; Kelly, R Lance MPT, ATC‡Author Information *From The Hughston Clinic, P.C., Columbus, GA; †Hughston Foundation; Columbus, GA; and ‡Hughston Rehabilitation, The Hughston Clinic, Columbus GA. No sources of financial support were used in this investigation. Reprints: Glenn C. Terry, MD, The Hughston Clinic, PC, 6262 Veterans Parkway, Columbus, GA 31909 (e-mail: email@example.com). Sports Medicine and Arthroscopy Review: December 2005 - Volume 13 - Issue 4 - p 225-231 doi: 10.1097/01.jsa.0000189963.54791.0c Buy Metrics Abstract 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. © 2005 Lippincott Williams & Wilkins, Inc.