Tuesday, February 5, 2013

Chondrolysis - more

We continue to see young individuals with chondrolysis of their glenohumeral joint after a surgical procedure including the infusion of local anesthetics through a pain pump.

Here are the films of a person in their mid 20's having had an instability repair  5 years ago followed by a pain pump infusing Lidocaine for two days post surgery.

The shoulder became stiff and painful and did not respond to a capsular release. The shoulder demonstrated progressive loss of comfort and function. At presentation to us the Simple shoulder test Score was 4/12. The x-rays and MRI's showed global loss of cartilage and medial erosion of the glenoid without substantial bone response (i.e. no osteophytes).

 The patient is seeking a shoulder arthroplasty.


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