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Chondrolysis Following Arthroscopic Thermal Capsulorrhaphy to Treat Shoulder InstabilityA Report of Two Cases
William N. Levine, MD1; A. Martin ClarkJr., MD1; Donald F. D'Alessandro, MD2; Ken Yamaguchi, MD3
1 The Center for Shoulder, Elbow, and Sports Medicine, New York Orthopaedic Hospital, Columbia University Medical Center, 622 West 168th Street, PH-1117, New York, NY 10032. E-mail address for W.N. Levine: wnl1@columbia.edu
2 Miller Orthopaedic Clinic, Medical Center Plaza, 1001 Blythe Boulevard, Suite 200, Charlotte, NC 28203
3 Shoulder and Elbow Service, Department of Orthopaedic Surgery, Washington University School of Medicine at Barnes-Jewish Hospital, One Barnes-Jewish Hospital Plaza, Suite 11300, West Pavilion, St. Louis, MO 63110
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at Columbia University Medical Center and Washington University School of Medicine

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Mar 01;87(3):616-621. doi: 10.2106/JBJS.D.02158
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Despite the paucity of long-term supportive studies, the use of thermal energy for the treatment of shoulder instability has become increasingly popular during the last decade. Axillary nerve injury, recurrent instability, capsular obliteration, and adhesive capsulitis are known complications of thermal capsulorrhaphy that have been documented in the literature1-5. A recent report highlighted the complication of chondrolysis following shoulder arthroscopy in three patients6; however, none of these patients had chondrolysis severe enough to warrant arthroplasty. We present the cases of two young athletes who had severe chondrolysis following thermal capsulorrhaphy for the treatment of shoulder instability. Our patients were informed that data concerning each case would be submitted for publication.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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