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Sanders SM et al. – The authors describe a healthy 59–year–old woman who sustained a third–degree burn from a grounding pad during shoulder arthroscopy. The authors wish to make surgeons aware of a rare complication associated with any arthroscopic procedure in which an electrocautery/grounding pad system is used. The authors detail the presentation, evaluation, treatment, and definitive care and review the possible causes of this complication and the mechanism by which an electrocautery/grounding pad system functions.

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