Postarthroscopic glenohumeral chondrolysis
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| Synonyms | N/A |
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| Field | N/A |
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| Risks | Complication of arthroscopic surgery |
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Postarthroscopic glenohumeral chondrolysis (PAGCL) is a rare complication of arthroscopic surgery and involves chondrolysis wherein the articular cartilage of the shoulder undergoes rapid, degenerative changes shortly after arthroscopic surgery.[1]
Causes[edit | edit source]
Bupivacaine, lidocaine, ropivacaine and levobupivacaine are all toxic to cartilage and their intra-articular infusions can lead to this toxic effect.[2] Intra-articular pain pumps with local anesthetics have been implicated as a potential cause.[3]
Diagnosis[edit | edit source]
![[icon]](/wiki/File:Wiki_letter_w_cropped.svg){kind=small} | This section is empty. You can help by adding to it. (September 2017) |
Treatment[edit | edit source]
Total Joint Arthroplasty or reverse total joint arthroplasty (shoulder replacement surgery)
References[edit | edit source]
- ↑ , Postarthroscopic glenohumeral chondrolysis., The Journal of the American Academy of Orthopaedic Surgeons, Vol. 20(Issue: 2), pp. 102–12, DOI: 10.5435/JAAOS-20-02-102, PMID: 22302448,
- ↑ , Articular cartilage and local anaesthetic: A systematic review of the current literature, Journal of Orthopaedics, Vol. 12 pp. S200–S210, DOI: 10.1016/j.jor.2015.10.005, PMID: 27047224, PMC: 4796530,
- ↑ , Subacromial pain pump use is safe after arthroscopic rotator cuff repair, Journal of Orthopaedics, Vol. 11(Issue: 2), pp. 64–67, DOI: 10.1016/j.jor.2014.04.012, PMID: 25104887, PMC: 4118566,
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