Glenohumeral chondrolysis: A systematic review of 100 cases from the English language literature

Scheffel, Peter T.; Clinton, Jeremiah; Lynch, Joseph R.; Warme, Winston J.; Bertelsen, Alexander; Matsen, Frederick A.

doi:10.1016/j.jse.2010.01.023

Cited by 58 publications

(40 citation statements)

References 39 publications

(61 reference statements)

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“…As the popularity of the arthroscopic treatment of shoulder pathology has risen over the last 15 years, glenohumeral chondrolysis has been better recognized as a complication of arthroscopic shoulder surgery [52]. Specifically, it has been commonly associated with arthroscopic thermal devices, intra-articular local anesthetic, and proud intra-articular anchor placement [53,54]. Solomon et al [54] identified 88 cases of postarthroscopic glenohumeral chondrolysis (PAGCL) in the literature in order to determine risk factors.…”

Section: Chondrolysismentioning

confidence: 99%

“…While the majority of the diagnoses in this series were instability (32 %) or superior labrum anterior to posterior (SLAP) tears (23 %), the authors found 10 % (9/91) of these shoulders involved a partial or full thickness rotator cuff tear. Scheffel et al [53] reviewed 100 cases of glenohumeral chondrolysis and found 13 % of the cases involved rotator cuff surgery. Eight cases were rotator cuff debridements, four were open rotator cuff repairs, and only one case involved an arthroscopic rotator cuff tear.…”

Section: Chondrolysismentioning

confidence: 99%

See 1 more Smart Citation

Management of complications after rotator cuff surgery

Parada

Dilisio

Kennedy

2014

Curr Rev Musculoskelet Med

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Rotator cuff repair (RCR) is a common procedure performed by orthopedic surgeons via arthroscopic, open, or mini-open techniques. While this surgery is considered to be of low morbidity, several potential complications can arise either intraoperatively or during the postoperative time period. Some of these complications are related to the surgical approach (arthroscopic or open), while others are patient dependent. Many of these complications can be managed through nonoperative means; however, early recognition and timely treatment is essential in limiting the long-term sequela and improving patient outcome. There are several different ways to classify complications after RCR repair: timing, severity, preventability, whether or not the pathology is intra-or extraarticular, and the type of treatment necessary. It is essential that the surgeon is cognizant of the etiology contributing to the failed RCR surgery in order to provide timely and proper management.

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Section: Chondrolysismentioning

confidence: 99%

Section: Chondrolysismentioning

confidence: 99%

Management of complications after rotator cuff surgery

Parada

Dilisio

Kennedy

2014

Curr Rev Musculoskelet Med

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“…Recent concerns of chondrolysis with continuous local anesthetic have limited the use in recent years in native joints [28,29,33]. The effectiveness of the elastomeric pain pump and continuous infiltration of local anesthetic after TKA has been evaluated briefly by three studies in particular [11,19,22].…”

Section: Introductionmentioning

confidence: 99%

The 2012 Chitranjan Ranawat Award: Intraarticular Analgesia After TKA Reduces Pain: A Randomized, Double-blinded, Placebo-controlled, Prospective Study

Goyal

McKenzie

Sharkey

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Postoperative pain after total knee arthroplasty remains one of the most important challenges facing patients undergoing this surgery. Providing a balance of adequate analgesia while limiting the functional impact of regional anesthesia and minimizing opioid side effects is critical to minimize adverse events and improve patient satisfaction. Questions/Purposes We asked whether bupivacaine delivered through an elastomeric device decreases the (1) patients' perception of pain after TKA; (2) narcotic consumption; and (3) narcotic-related side effects as compared with a placebo.Methods In this prospective, double-blind, placebocontrolled study, all patients received standardized regional anesthesia, a preemptive and multimodal analgesic protocol, and a continuous intraarticular infusion at 5 mL/hour through an elastomeric infusion pump. The patients were randomized to receive either an infusion pump filled with (1) 300 mL of 0.5% bupivacaine, the experimental group (n = 75); or (2) 300 mL of 0.9% normal saline solution, the control group (n = 75). Data concerning postoperative pain levels through a visual analog scale, postoperative opioid consumption, opioid-related side effects, and complications were collected and analyzed.

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“…While these complications are individually uncommon, the aggregate reported rates of complication range from 4.6 to 10.6 percent [10]. Chondrolysis is a particularly devastating complication that that has proven difficult to treat [36]. A analysis of 375 arthroscopies performed by a community surgeon found a striking association of chondrolysis with the use of lidocaine or bupivacaine anesthetics (49 out of 49 cases) [37].…”

Section: Treatmentmentioning

confidence: 99%

Prolotherapy: A Non-Invasive Approach to Lesions of the Glenoid Labrum; A Non-Controlled Questionnaire Based Study

Hauser¹,

Dolan

Orlofsky³

2013

TOREHJ

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Lesions of the glenoid labrum are a common cause of shoulder instability and a frequent finding in patients with shoulder pain. Management of these patients typically involves an attempt to avoid surgery through conservative treatment. However, there is currently a dearth of conservative options that promote labral healing. Regenerative injection therapies, including prolotherapy, have shown promise in the treatment of several musculoskeletal disorders, but have not previously been applied to glenoid labral tear. Here we review several important aspects of these lesions and present an initial case series of 33 patients with labral tear that were treated in our clinic with intra-articular injections of hypertonic dextrose. Patient-reported assessments were collected by questionnaire at a mean follow-up time of 16 months. Treated patients reported highly significant improvements with respect to pain, stiffness, range of motion, crunching, exercise and need for medication. All 31 patients who reported pain at baseline experienced pain relief, and all 31 who reported exercise impairment at baseline reported improved exercise capability. Patients reported complete relief of 69% of recorded symptoms. One patient reported worsening of some symptoms. Prolotherapy for glenoid labral tear appears to be a safe procedure that merits further investigation.

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Glenohumeral chondrolysis: A systematic review of 100 cases from the English language literature

Cited by 58 publications

References 39 publications

Management of complications after rotator cuff surgery

Management of complications after rotator cuff surgery

The 2012 Chitranjan Ranawat Award: Intraarticular Analgesia After TKA Reduces Pain: A Randomized, Double-blinded, Placebo-controlled, Prospective Study

Prolotherapy: A Non-Invasive Approach to Lesions of the Glenoid Labrum; A Non-Controlled Questionnaire Based Study

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