The Role of Thermal Energy in Shoulder Instability Surgery

Terry, Glenn C.; Miskovsky, Shana; Kelly, Rachel

doi:10.1097/01.jsa.0000189963.54791.0c

Cited by 1 publication

(7 citation statements)

References 44 publications

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“…Return to the desired level of activity was accomplished in 75 shoulders (91%); 3 (4%) experienced postoperative traumatic dislocations. Terry et al 19 found that 3 athletes were unable to return to their prior level of sport: 1 due to death (cause not reported), 1 did not desire to return, and 1 continued to experience popping and weakness. 19 Mishra and Fanton 16 observed that 11 shoulders (26%) had a mild loss of ER.…”

Section: Capsular-plication Studiesmentioning

confidence: 99%

“…Terry et al 19 found that 3 athletes were unable to return to their prior level of sport: 1 due to death (cause not reported), 1 did not desire to return, and 1 continued to experience popping and weakness. 19 Mishra and Fanton 16 observed that 11 shoulders (26%) had a mild loss of ER. Terry et al 19 described 5 shoulders (13%) with a mild loss of internal rotation.…”

Section: Capsular-plication Studiesmentioning

confidence: 99%

“…19 Mishra and Fanton 16 observed that 11 shoulders (26%) had a mild loss of ER. Terry et al 19 described 5 shoulders (13%) with a mild loss of internal rotation. Mishra and Fanton 16 immobilized patients for 2 weeks, allowing pendulums and submaximal isometric exercises, followed by passive ROM, AAROM, and isotonic exercises at 4 to 6 weeks, dynamic strengthening and aggressive stretching at 7 to 12 weeks, and a return to sport by 13 to 16 weeks.…”

Section: Capsular-plication Studiesmentioning

confidence: 99%

“…Mishra and Fanton 16 did not specify the TCS technique used, whereas Terry et al 19 used a linearstriping technique but did not discuss leaving tissue between passes. Return to the desired level of activity was accomplished in 75 shoulders (91%); 3 (4%) experienced postoperative traumatic dislocations.…”

Section: Capsular-plication Studiesmentioning

confidence: 99%

“…9,12,[15][16][17][18][19][20] In addition to the different types and degrees of instability among the studies, surgical technique varied from a painting style that left no remaining tissue between the treated areas to a striping technique that left minimal tissue between passes. Postoperative management also varied in the period of immobilization and progression of exercises.…”

Section: Capsular-plication Studiesmentioning

confidence: 99%

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Arthroscopic Treatment of Shoulder Instability: A Systematic Review of Capsular Plication Versus Thermal Capsulorrhaphy

Rolfes

2015

Journal of Athletic Training

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Objective: Shoulder instability is a common disorder of the shoulder that can result in debilitating pain and decreased function. Poorly treated cases of instability result in excessive mobility, possibly leading to labral tears and degenerative arthritis. The purpose of my systematic review was to compare the effectiveness of 2 popular arthroscopic techniques used to reduce shoulder instability: capsular plication and thermal capsulorrhaphy.Data Sources: Articles were retrieved from PubMed, Cochrane Library, and Ovid/MEDLINE searches using the terms capsular plication, capsular shift, capsular shrinkage, shoulder capsulorrhaphy, and treatment of shoulder instability.Study Selection: I sought cohort studies, case reviews, and randomized controlled trials published from 2000 through March 2013 that evaluated the outcomes of the 2 surgical procedures, which resulted in a total of 12 studies.Data Extraction: Outcome measures were range of motion, satisfaction, and return to previous activity level.Data Synthesis: The overall success rates of the reviewed studies were 91% for arthroscopic capsular plication and 76.5% for thermal capsulorrhaphy.Conclusions: Arthroscopic capsular plication had a higher rate of success than thermal capsulorrhaphy. However, postoperative management varied more among the thermal capsulorrhaphy studies and was generally less conservative than management involving standardized capsular-plication protocols. Future authors should investigate operative techniques and postoperative management, which may help to improve thermal capsulorrhaphy outcomes.

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Section: Capsular-plication Studiesmentioning

confidence: 99%