Journal of Shoulder and Elbow Surgery
Volume 16, Issue 2 , Pages 163-168 , March 2007

Histologic evaluation of the glenohumeral joint capsule after radiofrequency capsular shrinkage for atraumatic instability

  • Samir N. Massoud, FRCSI(Orth)

      Affiliations

    • Royal Orthopaedic Hospital, Birmingham, England
  • ,
  • Ofer Levy, MD, MCh(Orth)

      Affiliations

    • Royal Berkshire Hospital, Reading, England
    • Corresponding Author InformationReprint requests: Ofer Levy, MD, Royal Berkshire Hospital, London Road, Reading RG1 5AN, England.
  • ,
  • O. Espinosa de los Manteros

      Affiliations

    • Royal Berkshire Hospital, Reading, England
  • ,
  • F. Musa, MBChB

      Affiliations

    • Royal Berkshire Hospital, Reading, England
  • ,
  • Tirtza Even, MD, MSc

      Affiliations

    • Royal Berkshire Hospital, Reading, England
  • ,
  • Joydeep Sinha, FRCS(Orth)

      Affiliations

    • King’s College Hospital, London, England.
  • ,
  • Stephen A. Copeland, FRCS

      Affiliations

    • Royal Berkshire Hospital, Reading, England

References 

  1. Hayashi K, Massa KL, Thabit G, et al. Histologic evaluation of the glenohumeral joint capsule after the laser-assisted capsular shift procedure for glenohumeral instability. Am J Sports Med. 1999;27:162–167
  2. Hecht P, Hayashi K, Cooley AJ, Lu Y, Fanton GS, Thabit G. The thermal effect of monopolar radiofrequency energy on the properties of the joint capsule (An in vivo histological study using a sheep model). Am J Sports Med. 1998;26:808–814
  3. Hecht P, Hayashi K, Lu Y, et al. Monopolar radiofrequency energy effects on joint capsular tissue: potential treatment for joint instability (An in vivo mechanical, morphological, and biochemical study using an ovine model). Am J Sports Med. 1999;27:761–771
  4. Levy O, Wilson M, Williams H, Bruguera J, Dodenhoff R, Copeland SA. Thermal capsular shrinkage for shoulder instability (Mid-term longitudinal outcome study). J Bone Joint Surg Br. 2001;83:640–645
  5. Lopez MJ, Hayashi K, Fanton GS, Thabit G, Markel MD. The effect of radiofrequency energy on the ultrastructure of joint capsular collagen. Arthroscopy. 1998;14:499–501
  6. Lu Y, Hayashi K, Edwards RB, Fanton GS, Thabit G, Markel MD. The effect of monopolar radiofrequency treatment pattern on joint capsular healing (In vitro and in vivo studies using an ovine model). Am J Sports Med. 2000;28:711–719
  7. Meier AH, Weil EH, Van Waalwijk Van Doorn ES, et al. Transurethral radiofrequency heating or thermography for benign prostatic hypertrophy (A prospective trial on 65 consecutive cases). Eur Urol. 1992;22:39–43
  8. Nakagawa H, Yamanashi WS, Pitha JV, et al. Comparison of in vivo tissue temperature profile and lesion geometry for radiofrequency ablation with saline-irrigated electrode versus temperature control in canine thigh muscle preparation. Circulation. 1995;91:2264–2273
  9. Nath S, DiMarco JP, Haines DE. Basic aspects of radiofrequency catheter ablation. J Cardiovasc Electrophysiology. 1994;5:863–876
  10. Parry DAD, Barnes GRG, Craig AS. A comparison of the size and distribution of collagen fibril in connective tissues as a function of age and a possible relation between fibril size distribution and mechanical properties. Proc R Soc Lond B Biol Sci. 1978;203:305–321
  11. Rodeo SA, Suzuki K, Yamauchi M, Bhargava M, Warren RF. Analysis of collagen and elastic fibers in shoulder capsule in patients with shoulder instability. Am J Sports Med. 1998;26:634–643
  12. Schachar RA. Radial thermokeratoplasty. Int Ophthalmol Clin. 1991;31:47–57
  13. Schulz MM, Lee TQ, Sandusky MD, Tibone JE, McMahon PJ. The healing effects on the biomechanical properties of joint capsular tissue treated with Ho:YAG laser: an in vivo rabbit study. Arthroscopy. 2001;17:342–347

 This study was conducted entirely by the Reading Shoulder Unit, Royal Berkshire Hospital, Reading, England.

PII: S1058-2746(06)00199-6

doi: 10.1016/j.jse.2006.06.008

Journal of Shoulder and Elbow Surgery
Volume 16, Issue 2 , Pages 163-168 , March 2007