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]
Signs and symptoms
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Causes
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
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Treatment
Total Joint Arthroplasty or reverse total joint arthroplasty (shoulder replacement surgery)[citation needed]
References
^Yeh, PC; Kharrazi, FD (February 2012). "Postarthroscopic glenohumeral chondrolysis". The Journal of the American Academy of Orthopaedic Surgeons. 20 (2): 102–12.
doi:
10.5435/JAAOS-20-02-102.
PMID22302448.
S2CID11304366.