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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.
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.
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.
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.
The Food and Drug Administration (FDA) is warning orthopedic and anesthesia health care providers and hospital risk managers not to continuously infuse local anesthetics directly into the intra-articular joint space because this use of anesthetics has led to a painful and debilitating condition known as chondrolysis, or the decaying and destruction of the cartilage.
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.
Oklahoma Sooner star quarterback and 2008 Heisman Trophy winner Sam Bradford announced he will leave the team prematurely to undergo shoulder surgery before pursuing a career with the National Football League. The shoulder repair surgery requires a four- to six-month rehabilitation, leaving him unable to play.
Jim Smith could barely move his right arm following a motorcycle accident. A traditional shoulder replacement surgery left him in pain and unable to even do small household chores. “I was down to practically doing nothing,” Smith said to WNDU-TV. “I couldn’t even trim bushes in the yard because I didn’t have control of my right arm.”
Lawsuits against the manufacturers of shoulder pain pump devices have been filed in state and federal courts across the nation, and some have already been scheduled for trial beginning in 2010. What juries may be surprised to hear is how a device commonly used between 1999 and 2007 to relieve pain following shoulder surgery, has months later resulted in an irreversible, painful and debilitating condition known as chondrolysis.
Three decades ago, Chuck Short dislocated his shoulder joint while pole-vaulting. The nagging pain and limited use eventually led his doctors to recommend a total shoulder replacement. Much had changed in the 30 years since Short originally injured his shoulder. Back then, he would nave needed to stay in the hospital for three to five days. But thanks to innovations in medical technology, Short was able to go home a mere two hours after surgery. The reason? A pain pump that rested outside his body but had a tiny catheter that fed into his wound site. The pump administered gradual doses of Novocaine into his shoulder for up to 72 hours.
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