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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Severe chondrolysis after shoulder arthroscopy: a case series
David S Bailie1, Todd S Ellenbecker
1The Orthopedic Clinic Association, PC, Scottsdale, AZ 85258, USA.
Journal of Shoulder and Elbow Surgery
|February 3, 2009
Summary
Post-arthroscopic shoulder chondrolysis, a severe complication, may result from multiple factors including pain pumps and bioabsorbable devices. Researchers advise caution with intra-articular anesthetics.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Regenerative Medicine
Background:
- Post-arthroscopic glenohumeral chondrolysis is a severe complication.
- It can lead to significant long-term disability.
Purpose of the Study:
- To identify common factors associated with post-arthroscopic glenohumeral chondrolysis.
- To review management options for this complication.
Main Methods:
- A review of 23 cases of post-arthroscopic glenohumeral chondrolysis between 2005-2006.
- Analysis of presenting complaints, operative findings, and potential etiological factors.
Main Results:
- 14 cases involved labral repair with bioabsorbable devices.
- 17 cases used high-volume intra-articular pain pumps for 48 hours.
- All cases received intra-articular bupivacaine with epinephrine.
Conclusions:
- Chondrolysis may result from a convergence of multiple factors.
- Intra-articular local anesthetics are a concern.
- Further research is needed to identify definitive causative factors.