Review ArticleThermal Capsulorrhaphy in Shoulder InstabilitySennett, Brian J MD*; Williams, Gerald R Jr MD†Author Information From the *Department of Orthopaedic Surgery, Sports Medicine Service, University of Pennsylvania, Philadelphia, PA; †From the Department of Orthopaedic Surgery, Shoulder and Elbow Service, University of Pennsylvania, Philadelphia, PA. Reprints: Gerald R. Williams, Jr., MD, 1 Cupp Pavilion, Presbyterian Medical Center 39th and Market Streets, Philadelphia, PA 19104 (e-mail: Gerald.Williams@uphs.upenn.edu). Sports Medicine and Arthroscopy Review: December 2005 - Volume 13 - Issue 4 - p 214-220 doi: 10.1097/01.jsa.0000189965.00533.ae Buy Metrics Abstract Shoulder instability encompasses a full spectrum of pathologies and presents a challenging clinical problem. Recurrent anterior instability creates extreme functional limitations and requires a comprehensive treatment approach. The treatment is based on establishing a correct diagnosis and performing a treatment that remedies the pathologic condition. Open and arthroscopic techniques have been developed to address this clinical problem of shoulder instability. Particularly, thermal energy has been utilized arthroscopically to shrink glenohumeral capsular ligaments in patients with glenohumeral instability. This article reviews the basic science, clinical indications, and surgical technique involved in the technique of thermal capsulorraphy. Particular attention is focused on the areas of clinical indications, surgical outcomes, and complications from thermal capsulorraphy. © 2005 Lippincott Williams & Wilkins, Inc.