Postarthroscopic glenohumeral chondrolysis

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Postarthroscopic glenohumeral chondrolysis
Human shoulder(joint)
SpecialtyOrthopedic
Risk factorsComplication of arthroscopic surgery

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

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

Treatment

Total Joint Arthroplasty or reverse total joint arthroplasty (shoulder replacement surgery)[citation needed]

References