Beasley, Allen, Crow, Methvin, Portis & Miles, P.C.

Dr. David S. Bailie, an orthopedic surgeon in Scottsdale, Ariz., says he’s lost hours of sleep over a rare joint condition he started seeing far too often in his patients who had had arthroscopic shoulder surgery. “There’s nothing worse than a surgeon doing something that causes a problem, not fixes a problem,” he told the New York Times.

Since 2005, Dr. Bailie says he has seen dozens of patients come to him months after surgery with worsening pain and limited mobility. The diagnosis was chondrolysis, a condition in which the cartilage in the shoulder joint wears away leaving bone to rub against bone. There is no cure for chondrolysis and in some cases, total shoulder replacement is required.

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UCLA forward James Keefe will miss two to three weeks with the team to recovery from a dislocated left shoulder. The senior was injured during the first half of UCLA’s game against New Mexico State on December 15th. The injury occurred on the same shoulder that required surgery for a torn labrum in 2007.

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In light of a recent report released by the U. S. Food and Drug Administration that confirms the link between chondrolysis and pain pump use, Joseph A. Carrese, MD, MPH, an expert in bioethics, has issued an opinion stating that physicians have a responsiblity to inform former patients on whom they used the device of the possible risk.

It is Dr. Carrese’s opinion that “to do otherwise would be a failure of expected ethical and professional conduct, and in turn a failure of good clinical practice.”

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Through arthroscopic shoulder surgery, patients hope for better use of their shoulder and to put an end to their shoulder pain. The expectations of the surgery include alleviating patients’ shoulder problems, and for their post-surgical pain to be eased through pain pumps. While the problems initially might have been alleviated through surgery, it was the pump to ease the pain after the surgery that brought the patients back with more pain and suffering than before.

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Post-Arthroscopic Glenohumeral Chondrolysis, or PAGCL, is a debilitating and life altering shoulder injury associated with intra-articular pain pumps used in conjunction with arthroscopic shoulder surgery.

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Dr. Charles Beck, a well-respected orthopedic surgeon, recently issued a warning that a commonly used device designed to reduce pain after surgery is potentially dangerous when used in the shoulder joint space. The devices, manufactured by Stryker Corporation, I-Flow Inc. and other companies, deliver high concentrations of pain medication directly to a surgical site. According to the recently published article co-authored by Dr. Beck, they can cause permanent and debilitating damage to the shoulder. In discussing the matter, Dr. Beck stated:

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