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

Postarthroscopic glenohumeral chondrolysis, or chondrolysis of the shoulder, was once unheard of, but surgeons are beginning to see the debilitating condition affect more and more patients who have previously had shoulder surgery, according to Ortho Super Site. Chondrolysis occurs when the cartilage in the shoulder wears away causing bone to rub against bone. Symptoms of chondrolysis often present between three and 12 months after shoulder surgery and begin as a deep ache that progresses to severe pain and loss of motion. While the cause of chondrolysis is still up for debate, one likely culprit is the use of intra-articular pain pumps during the shoulder surgery.

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A growing number of young patients have been developing arthritis in their shoulders after routine outpatient arthroscopic surgery, causing surgeons to question what could be causing the debilitating condition in otherwise healthy individuals.

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Characteristics of chondrolysis associated with intra-articular pain pumps after shoulder surgery was among the topics at the 2009 Annual Meeting of the American Academy of Orthopaedic Surgeons/ the American Association of Orthopaedic Surgeons. The discussion included Drs. Peter Thomas Scheffel, Jeremiah Clinton, Joseph Lynch, Winston J. Warme, and Frederick A. Matsen III, and was moderated by Drs. Carl J. Basamania and Guido Marra. The message centered on the need for surgeons and patients to be aware of chondrolysis as a potential complication of the infusion of local anesthetic after shoulder arthroscopy.

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Jean-Thenistor Pascal, the Haitian-Quebecker professional boxer and current WBC Light Heavyweight Champion, underwent arthroscopic surgery on his right shoulder this week and will be unable to train or fight for about nine weeks. The boxer hurt his shoulder while successfully defending his title against Adrian Diaconu last week.

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I-Flow Corp., the Irvine, Calif.-based device maker, exceeded expectations with its quarterly results and says it expects to see an operating profit for the year despite a sharp increase in the number of product liability lawsuits filed against the company in July 2009. The company, which makes devices that deliver targeted anesthesia as an alternative to narcotics known as pain pumps, has a market value of $175 million.

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Intra-articular pain pumps were never meant to harm people. But according to mounting lawsuits against the makers of pain pumps, the manufacturers knowingly put patients at risk.

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Could the intra-articular pain pumps used following knee surgery cause the same debilitating condition as pain pumps used in shoulder surgery? Possibly, according to a recent story on Spine University Web site.

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The season is over for Kansas City Royals outfielder Coco Crisp, who will undergo surgery to repair a torn labrum in his right shoulder. Royals manager Trey Hillman calls it a “pretty big blow” to the team. Crisp, who began experiencing pain in his shoulder last April, hasn’t played since June 12 after the pain in his shoulder began hampering his production. Prior to going on the disabled list, Crisp’s production dropped from .239 to .261.

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Kansas City Royals outfielder Coco Crisp could be out for the rest of the season if the injury to his right shoulder turns out to be a torn labrum. He is getting second opinion from the renowned surgeon Dr. James Andrews. If it is torn, Crisp will have to decide whether to undergo immediate season-ending surgery or to put off surgery in hopes he can play again this season, according to The Kansas City Star.

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There are approximately 140 lawsuits against manufacturers of pain pumps currently pending in state and federal courts throughout the country filed on behalf of patients who had used pain pump devices following shoulder repair surgery that were unreasonably and dangerously defective and caused serious pain and disability. The number of lawsuits has jumped considerably since the summer of 2008, says Frank Woodson, shareholder with Beasley Allen Law Firm.

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