Against this background it is curious that the authors state that 'no cause of PAGCL has been confirmed and the associations are mostly speculative'. We note that one of the authors of this article discloses that he or an immediate family member serves as a paid consultant to Styker, a manufacturer of pain pumps used for the post arthroscopic infusion of local anesthetics.
The authors borrow photographs from a recent article, Risk Factors for Chondrolysis of the Glenohumeral Joint, A study of 375 shoulder arthroscopic procedures in the practice of an individual community surgeon. This article clearly demonstrates the role of post-arthroscopic infusion of local anesthetics via pain pumps in the causation of glenohumeral chondrolysis, yet they omit this article from their discussion of the causes of this condition.
The causation of chondrolysis is now clearly established as shown in this post.
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