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

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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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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Deciding to have rotator cuff surgery can be trying decision. On one hand, it can relieve pain and increase mobility in the shoulder. But shoulder surgery can carry risks, some that may worsen the condition and may require more surgery. Before choosing to go under the knife, consider your options, says the e-zine Revolution Health.

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Rotator cuff surgery is considered one of the most painful sports-injuries surgeries to the shoulder. It involves the reattaching of the damaged tendon or tendons to the upper arm. In order to access the injured rotator cuff, the surgeon makes a two- to three-inch incision in the shoulder and cuts through the deltoid muscle. Scar tissue is removed and small holes are drilled through the bone allowing the surgeon to sew the tendon to the bone. The procedure can be difficult for sports medicine and orthopedic surgeons due to the multitude of knots that must be tied through a type of small tubing under arthroscopic viewing. But one corporation is making that procedure easier for surgeons.

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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 used to deliver a steady amount of medication to a wound site for up to 72 hours following surgery. They are often used in shoulder surgery. The balloon-shaped part of the device rests outside the body and is attached to catheters that feed into the shoulder tissue. Once the medication has been used, patients are instructed to simply pull out the catheter.

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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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Attorney Frank Woodson with Beasley Allen Law Firm along with attorneys with partnering firms filed three separate lawsuits in late May and early June 2009, alleging that pain pump devices implanted in the shoulder during and after surgery to repair shoulder injuries were unreasonably and dangerously defective beyond the extent contemplated by ordinary patients.

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Nine people in Arizona who claim they were permanently injured by a medical device designed to deliver pain medication to the shoulder joint, are suing the makers of the device for more than $68 million, according to the Phoenix Business Journal.

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Mathew McKeown, 23, of Blue Ash, Ohio, dreamed of playing pro ball. He was an all-city football player in high school and earned a scholarship to play for Miami. Making it to the NFL was just a matter of time.

But during a game in October 2006, McKeown’s left shoulder was injured while trying to recover a fumble. Doctors implanted the catheter of a On-Q PainBuster pain pump manufactured by I-Flow into his shoulder joint. For up to 72 hours, medication gradually dripped into his shoulder and slowly began eating away at the cartilage.

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