Postarthroscopic glenohumeral chondrolysis
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]
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Contributors: Prab R. Tumpati, MD
