Laser-assisted shoulder surgery.

The application of laser/thermal energy in arthroscopic shoulder surgery remains controversial. Laser proponents tout the benefits of coagulation and vaporization of tissue, whereas opponents cite costs, complications, and the fact that the laser has not yet shown results superior to presently available mechanical techniques. A lack of basic science studies and the aversion of many physicians to the marketing aspects of laser technology have undermined the widespread orthopaedic acceptance of laser techniques. Newer applications, such as capsular shrinkage are just now being evaluated as to effect and efficacy. Orthopaedists should be assured that, at present, they are not compromising patient care by not using laser techniques.