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Case reports: two cases of glenohumeral chondrolysis after intraarticular pain pumps.

Publication ,  Journal Article
Anakwenze, OA; Hosalkar, H; Huffman, GR
Published in: Clin Orthop Relat Res
September 2010

BACKGROUND: Acute idiopathic chondrolysis in young adults is rare. The etiology often is unknown and outcomes can be devastating owing to rapid development of painful secondary osteoarthritis. There have been some recent reports of chondrolysis after arthroscopic shoulder procedures. Animal and laboratory data suggest chondrolysis is related to the use of intraarticular pain pumps, although there is no conclusive evidence that this is causative in patients. CASE DESCRIPTION: We present two cases of young adults with chondrolysis of the humeral head after intraarticular pain pump use with humeral head resurfacing and biologic glenoid resurfacing. LITERATURE REVIEW: Several authors report glenohumeral chondrolysis after shoulder arthroscopy involving the use of bupivacaine pain pumps. In addition, experimental animal studies have confirmed the presence of chondrolysis after bupivacaine infusion. PURPOSES AND CLINICAL RELEVANCE: These cases provide additional evidence of an important association between postarthroscopic chondrolysis of the glenohumeral joint and the use of bupivacaine pain pumps.

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Published In

Clin Orthop Relat Res

DOI

EISSN

1528-1132

Publication Date

September 2010

Volume

468

Issue

9

Start / End Page

2545 / 2549

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Shoulder Pain
  • Shoulder Joint
  • Range of Motion, Articular
  • Pain, Postoperative
  • Orthopedics
  • Magnetic Resonance Imaging
  • Infusion Pumps, Implantable
  • Humans
 

Citation

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Anakwenze, O. A., Hosalkar, H., & Huffman, G. R. (2010). Case reports: two cases of glenohumeral chondrolysis after intraarticular pain pumps. Clin Orthop Relat Res, 468(9), 2545–2549. https://doi.org/10.1007/s11999-010-1244-5
Anakwenze, Okechukwu A., Harish Hosalkar, and G Russell Huffman. “Case reports: two cases of glenohumeral chondrolysis after intraarticular pain pumps.Clin Orthop Relat Res 468, no. 9 (September 2010): 2545–49. https://doi.org/10.1007/s11999-010-1244-5.
Anakwenze OA, Hosalkar H, Huffman GR. Case reports: two cases of glenohumeral chondrolysis after intraarticular pain pumps. Clin Orthop Relat Res. 2010 Sep;468(9):2545–9.
Anakwenze, Okechukwu A., et al. “Case reports: two cases of glenohumeral chondrolysis after intraarticular pain pumps.Clin Orthop Relat Res, vol. 468, no. 9, Sept. 2010, pp. 2545–49. Pubmed, doi:10.1007/s11999-010-1244-5.
Anakwenze OA, Hosalkar H, Huffman GR. Case reports: two cases of glenohumeral chondrolysis after intraarticular pain pumps. Clin Orthop Relat Res. 2010 Sep;468(9):2545–2549.
Journal cover image

Published In

Clin Orthop Relat Res

DOI

EISSN

1528-1132

Publication Date

September 2010

Volume

468

Issue

9

Start / End Page

2545 / 2549

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Shoulder Pain
  • Shoulder Joint
  • Range of Motion, Articular
  • Pain, Postoperative
  • Orthopedics
  • Magnetic Resonance Imaging
  • Infusion Pumps, Implantable
  • Humans