[Postarthroscopic glenohumeral chondrolysis--are there any causal factors? Case report].

Abstract:

BACKGROUND:Postarthroscopic glenohumeral chondrolysis (PAGCL) is a rare complication of shoulder arthroscopy. PAGCL describes a chondrolysis in the shoulder joint after arthroscopy mostly affecting younger patients. The process leading to chondrolysis is not known yet. MATERIAL AND METHODS:The case report describes a patient with rapid progress of the PAGCL. A literature review with key words: PAGCL, postarthroscopic glenohumeral chondrolysis, shoulder arthroscopy AND chondrolysis, chondronecrosis AND arthroscopy was carried out. RESULTS:16 Publications involving case reports with 96 cases were found. The mean age at operation was 28 ± 10 years (range: 13 to 61 years). The majority of patients (62%) were male. 8 diagnoses at index operation were found. 63% received intraarticular local anaesthetics (62% bupivacain, 21% bupivacain and epinephrin, 2% lidocain) through a pain pump. CONCLUSION:PAGCL is a rare and disturbing complication after shoulder arthroscopy. The majority of the patients are young and male. A relevant causal factor is an intraarticular pain pump with bupivacain. Other factors have not yet been verified. A multifactorial aetiology is likely. No specific and effective treatment regimen is described.

journal_name

Z Orthop Unfall

authors

Schröter S,Lutz O,Gonser CE,Ateschrang A,Badke A,Albrecht D

doi

10.1055/s-0030-1270919

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

688-93

issue

6

eissn

1864-6697

issn

1864-6743

journal_volume

149

pub_type

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