Monopolar radiofrequency energy for arthroscopic treatment of shoulder instability in the athlete (Reprinted from Operative Techniques in Sports Medicine, July, 2000)

Monopolar radiofrequency energy is increasingly being used in the treatment of shoulder instability. Basic science studies and early clinical results have shown that application of thermal energy can result in successful shri nkage of the shoulder capsule. This procedure is useful in treating certain traumatic and recurrent instability conditions of the shoulder especially in the athlete where range of motion is preserved, recovery is faster than with open procedures, and there is little disruption or alteration of inher ent anatomy. The procedure is technically easy to perform, and the complica tion rate is low. Success, however, depends on proper patient selection, at tention to the rehabilitation program, and patient compliance. Long-term fo llow-up will be necessary to determine if results for this procedure will d eteriorate over time, especially in patients with multidirectional instabil ity.