ShoulderSevere chondrolysis after shoulder arthroscopy: A case series
Section snippets
Materials and methods
We reviewed the records of suspected cases of glenohumeral chondrolysis that presented to our office after shoulder arthroscopy from 2005 to 2006. This research study was submitted to and approved by the Institutional Review Board of Physiotherapy Associates (Exton, PA) before the review of patient data. This time period was used because we had not been aware of a single case of glenohumeral chondrolysis in our clinic before 2005. A total of 23 cases were identified. Chondrolysis was suspected
Results
There were 23 documented cases of chondrolysis of the glenohumeral joint. The details are summarized in Table I. The mean age was 30.5 years (range, 15-47 years). The onset of symptoms occurred at a mean of 9.1 months after the index operation (range, 8-12 months). No patient indicated an intervening injury during the time from index surgery to presentation to our office. Review of all available preoperative and intraoperative data failed to show any evidence of degenerative arthritis,
Discussion
Given the total number of shoulder arthroscopies done each year, the occurrence of chondrolysis still appears to be rare. Of the 3 commonly used modalities implicated by various authors as potential contributors to chondrolysis (pain pumps, thermal devices, and bioabsorbable tissue anchors), devices used for tissue shrinkage initially had the greatest research support as a potential cause for chondrolysis.8, 12, 24 The association for both pain pumps and bioabsorbable anchors was initially more
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2020, Journal of Clinical Orthopaedics and TraumaCitation Excerpt :Mc Nickle et al.44 reported 2 out of 20 cases of glenohumeral Chondrolysis was probably due to proud or suboptimal placement of suture anchor. Bailie et al.45 reported that in their series of 23 cases of Chondrolysis, 14 patients had bio absorbable device used for shoulder stabilization. They reported loosening of suture anchors resulted in prominent anchors and knots and ultimately leading to severe chondral injury to the humeral head.
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