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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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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Five lawsuits against manufacturers of pain pumps and pharmaceutical companies on behalf of 28 people were filed in Los Angeles County Superior Court this month, alleging fraud, breach of warranty and products liability, saying the makers of the products continued to market the pain pumps as mitigation for shoulder joints despite the specific use of those products not being approved by the Food and Drug Administration (FDA). The lawsuits also allege that the pain pump devices caused a painful and debilitating condition known as postarthroscopic glenohumeral chondrolysis (PAGCL), in which the cartilage in the shoulder joint wears away causing bone to rub against bone.

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Things were looking promising for Florida State University quarterback Christian Ponder, until last Saturday, when he separated his right shoulder making a tackle after throwing his fourth interception against Clemson. He now faces surgery to repair a Grade 3 AC separation, which will bench him for the rest of the season.

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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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The shoulder joint has the greatest range of motion of all our joints and allows us to use our arms for various tasks, from throwing pitches to supporting our bodies. When the shoulder is injured, surgery may be required to relieve pain and restore mobility. However, some individuals have found that surgery on their shoulder has made their condition worse.

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Pain pumps are devices designed to deliver medication directly into the surgical site to manage pan after surgery. While effective for pain management, physicians began seeing more and more patients suffering from a debilitating condition known as chondrolysis following use of shoulder pain pumps. This concern was validated in a recent study by The American Journal of Sports Medicine, which identified a specific type of chondrolysis, Postarthroscopic Glenohumeral Chondrolysis (PAGCL), associated with the use of shoulder pain pumps. As a result, hundreds of people harmed by the devices have filed suit against the manufacturers of pain pumps.

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Just five years ago, baseball writer, radio host and injury expert Will Carroll called torn shoulder labrums “baseball’s most fearsome injury,” adding “If pitchers with torn labrums were horses, they’d be destroyed.” However, thanks to improvements in surgery, baseball players no longer have to look at torn labrums as career-ending injuries.

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Four complaints have been filed in federal court in Philadelphia against Stryker Corp., maker of medical devices including postoperative pain pumps, for causing serious arthritis. The Kalamazoo, Michigan-based company is accused of actively concealing or misrepresenting information about the safety and efficacy of its pain pumps.

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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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