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  • Title: Arthroscopic thermal capsulorrhaphy as treatment for the unstable paralytic shoulder.
    Author: Strauss EJ, Fealy S, Khazzam M, Dines JS, Craig EV.
    Journal: Arthroscopy; 2005 May; 21(5):636. PubMed ID: 15891741.
    Abstract:
    Patients who present with global capsular laxity and glenohumeral instability frequently can be treated successfully with shoulder girdle musculature strengthening exercises and activity modification. When such injury is caused by a paralytic shoulder, a rehabilitation program may not be a viable treatment option. Presented in this article are 3 patients with global capsular laxity and glenohumeral instability as a result of shoulder paralysis. We also describe an arthroscopic technique of thermal capsulorrhaphy. In our experience, arthroscopic thermal capsulorrhaphy used to treat global capsular laxity and glenohumeral instability resulting from a paralytic shoulder has decreased symptoms of shoulder instability and has significantly reduced shoulder pain.
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