Postarthroscopic glenohumeral chondrolysis

From WikiMD's Wellnesspedia

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]

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