Need an oil spill lawyer? We will fight for you!
› $150,000,000 verdict in personal injury case
Pain pumps are getting a bad rap lately, thanks to the emergence of chondrolysis, a debilitating condition that was once unheard of in the shoulder joint but is now affecting hundreds who have undergone shoulder surgery. But Pearland, Texas, Dr. Leo Lapuerta says the devices are not banned for all medical procedures and that they are particularly beneficial for plastic surgeries.
Much has been reported lately about chondrolysis of the shoulder, or Postarthroscopic Glenohumeral Chondrolysis (PAGCL). So what is chondrolysis and why is it getting so much face time? Chondrolysis is the destruction of the cartilage in a joint. It is generally a rare condition anywhere in the body, but it has been most often heard of in hip joints most often from birth defects. Before the 1990s, chondrolysis in the shoulder was never seen.
Gregg Zaun will have shoulder surgery next week, which will end the season early for the Milwaukee Brewers catcher. It may also mark the end of his career. “I’m not in a situation anymore where I need to play. I don’t need to play. I don’t need to play Major League Baseball to validate myself as a person,” Zaun said before the Brewers’ game against the Chicago Cubs. “Do I want to play? That’s a different story. It’s too uncertain to tell. I’m really upset about having surgery and my season being over.”
Just as the baseball season was getting underway, Tampa Bay Rays J.P. Howell had surgery on his left shoulder, ending his season prematurely. The left-handed reliever had to stop a simulated game last week just after starting because of discomfort in his shoulder. Two days later he was in surgery. Howell is expected to be recovered enough to play in the 2011 season.
Justin was just 17 years old when he was diagnosed with chondrolysis of his right shoulder. The condition occurs when the cartilage in the shoulder joint wears away causing bone to rub against bone. For more than a year, Justin suffered from such incredible pain that he was not able to use his right arm for even small tasks of everyday life, like combing his hair or putting on a shirt. The pain even kept him awake at night. But even more disappointing, Justin wasn’t able to compete as a swimmer, something he had participated in and trained for since he was just 7 years old.
Several local anesthetics have added warnings on their labels notifying health care professionals that using the drugs in intra-articular devices, or pain pumps, following arthroscopic and other surgical procedures is not approved and has been linked to cases of a painful and debilitating condition of the shoulder joint known as chondrolysis, according to the Food and Drug Administration (FDA) Drug Safety report for February 2010. The cases of chondrolysis were reported in both pediatric and adult patients following intra-articular infusions of the anesthetics with and without epinephrine, a hormone neurotransmitter, for 48 to 72 hours following surgery.
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.
The Food and Drug Administration (FDA) is notifying health care professionals of reports of a serious and destructive cartilage condition known as chondrolysis in patients who have had shoulder surgery during which they received continuously infused local anesthetics to deaden pain. The anesthetics were delivered via pain pumps, balloon-like devices that hold medication outside the body and have a catheter that delivers pain medication directly into the shoulder joint for up to 72 hours following surgery.
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.
Whitney Moore was in prime physical condition just a few years ago. She played junior varsity soccer at West Virginia University before opening a strength and conditioning business for young athletes. In 2004, she injured her shoulder playing soccer and had surgery to repair it. But the surgery only made her shoulder worse. Moore developed a once-rare condition known as chondrolysis, in which the cartilage in the joint wears away causing bone to rub against bone.
![[ Beasley Allen Law Firm Logo ]](http://www.painpump.net/wp-content/themes/system-unity/images/logo.png){kind=logo}