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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Anakwenze, OA; Hosalkar, H; Huffman, GR

Published Date

  • September 2010

Published In

Volume / Issue

  • 468 / 9

Start / End Page

  • 2545 - 2549

PubMed ID

  • 20112077

Pubmed Central ID

  • PMC2919888

Electronic International Standard Serial Number (EISSN)

  • 1528-1132

Digital Object Identifier (DOI)

  • 10.1007/s11999-010-1244-5


  • eng

Conference Location

  • United States