Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 12 , Pages 1367-1373 , December 2009

Glenohumeral Chondrolysis After Shoulder Arthroscopy Associated With Continuous Bupivacaine Infusion

  • Jay H. Rapley, M.D.

      Affiliations

    • Plano Orthopedic Sports Medicine and Spine Center, Plano, Texas, U.S.A.
    • ,
  • R. Cole Beavis, M.D.

      Affiliations

    • Division of Orthopedic Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
    • ,
  • F. Alan Barber, M.D.

      Affiliations

    • Plano Orthopedic Sports Medicine and Spine Center, Plano, Texas, U.S.A.
    • Corresponding Author InformationAddress correspondence and reprint requests to F. Alan Barber, M.D., Plano Orthopedic and Sports Medicine Center, 5228 W Plano Pkwy, Plano, TX 75093, U.S.A.

Received 5 April 2009 ,Accepted 30 August 2009.

References 

  1. Barber FA, Herbert MA. The effectiveness of an anesthetic continuous-infusion device on postoperative pain control. Arthroscopy. 2002;18:76–81
  2. Savoie FH, Field LD, Jenkins RN, Mallon WJ, Phelps RA. The pain control infusion pump for postoperative pain control in shoulder surgery. Arthroscopy. 2000;16:339–342
  3. Park JY, Lee GW, Kim Y, Yoo MJ. The efficacy of continuous intrabursal infusion with morphine and bupivacaine for postoperative analgesia after subacromial arthroscopy. Reg Anesth Pain Med. 2002;27:145–149
  4. Busfield BT, Lee GH, Carrillo M, Ortega R, Kharrazi FD. Subacromial pain pump use with arthroscopic shoulder surgery: A short-term prospective study of complications in 583 patients. J Shoulder Elbow Surg. 2008;17:860–862
  5. Kryger ZB, Rawlani V, Lu L, Fine NA. Decreased postoperative pain, narcotic, and antiemetic use after breast reduction using a local anesthetic pain pump. Ann Plast Surg. 2008;61:147–152
  6. Dragoo JL, Korotkova T, Kanwar R, Wood B. The effect of local anesthetics administered via pain pump on chondrocyte viability. Am J Sports Med. 2008;36:1484–1488
  7. Banerjee SS, Pulido P, Adelson WS, Fronek J, Hoenecke HR. The efficacy of continuous bupivacaine infiltration following arthroscopic rotator cuff repair. Arthroscopy. 2008;24:397–402
  8. Gomoll AH, Kang RW, Williams JM, Bach BR, Cole BJ. Chondrolysis after continuous intra-articular bupivacaine infusion: An experimental model investigating chondrotoxicity in the rabbit shoulder. Arthroscopy. 2006;22:813–819
  9. Fester EW, Noyes FR. Postoperative chondrolysis of the knee: 3 case reports and a review of the literature. Am J Sports Med. 2009;37:1848–1854
  10. Levy JC, Frankle M. Bilateral shoulder chondrolysis following arthroscopy (A report of two cases). J Bone Joint Surg Am. 2008;90:2546–2547
  11. Greis PE, Legrand A, Burks RT. Bilateral shoulder chondrolysis following arthroscopy (A report of two cases). J Bone Joint Surg Am. 2008;90:1338–1344
  12. Levy JC, Virani NA, Frankle MA, Cuff D, Pupello DR, Hamelin JA. Young patients with shoulder chondrolysis following arthroscopic shoulder surgery treated with total shoulder arthroplasty. J Shoulder Elbow Surg. 2008;17:380–388
  13. Hansen BP, Beck CL, Beck EP, Townsley RW. Postarthroscopic glenohumeral chondrolysis. Am J Sports Med. 2007;35:1628–1634
  14. Petty DH, Jazrawi LM, Estrada LS, Andrews JR. Glenohumeral chondrolysis after shoulder arthroscopy: Case reports and review of the literature. Am J Sports Med. 2004;32:509–515
  15. Good CR, Shindle MK, Kelly BT, Wanich T, Warren RF. Glenohumeral chondrolysis after shoulder arthroscopy with thermal capsulorrhaphy. Arthroscopy. 2007;23:797.e1–797.e5Available online at www.arthroscopyjournal.org
  16. Ciccone WJ, Weinstein DM, Elias JJ. Glenohumeral chondrolysis following thermal capsulorrhaphy. Orthopedics. 2007;30:158–160
  17. Lubowitz JH, Poehling GG. Glenohumeral thermal capsulorrhaphy is not recommended—Shoulder chondrolysis requires additional research. Arthroscopy. 2007;23:687
  18. Jerosch J, Aldawoudy AM. Chondrolysis of the glenohumeral joint following arthroscopic capsular release for adhesive capsulitis: A case report. Knee Surg Sports Traumatol Arthrosc. 2007;15:292–294
  19. Shibata Y, Midorikawa K, Koga T, Honjo N, Naito M. Chondrolysis of the glenohumeral joint following a color test using gentian violet. Int Orthop. 2001;25:401–403
  20. Chu CR, Izzo NJ, Coyle CH, Papas NE, Logar A. The in vitro effects of bupivacaine on articular chondrocytes. J Bone Joint Surg Br. 2008;90:814–820
  21. Piper SL, Kim HT. Comparison of ropivacaine and bupivacaine toxicity in human articular chondrocytes. J Bone Joint Surg Am. 2008;90:986–991
  22. Chu CR, Izzo NJ, Papas NE, Fu FH. In vitro exposure to 0.5% bupivacaine is cytotoxic to bovine articular chondrocytes. Arthroscopy. 2006;22:693–699
  23. Levine WN, Clark AM, D'Alessandro DF, Yamaguchi K. Chondrolysis following arthroscopic thermal capsulorrhaphy to treat shoulder instability (A report of two cases). J Bone Joint Surg Am. 2005;87:616–621
  24. Homandberg GA, Hui F, Wen C, Kuettner KE, Williams JM. Hyaluronic acid suppresses fibronectin fragment mediated cartilage chondrolysis: I. In vitro. Osteoarthritis Cartilage. 1997;5:309–319
  25. Bailie DS, Ellenbecker T. Severe chondrolysis after shoulder arthroscopy: A case series. J Shoulder Elbow Surg. 2009;18:742–747
  26. Busfield BT, Romero DM. Pain pump use after shoulder arthroscopy as a cause of glenohumeral chondrolysis. Arthroscopy. 2009;25:647–652
  27. Gomoll AH, Yanke AB, Kang RW, et al. Long-term effects of bupivacaine on cartilage in a rabbit shoulder model. Am J Sports Med. 2009;37:72–77
  28. Williams JM, Zhang J, Kang H, Ummadi V, Homandberg GA. The effects of hyaluronic acid on fibronectin fragment mediated cartilage chondrolysis in skeletally mature rabbits. Osteoarthritis Cartilage. 2003;11:44–49
  29. Jarvela T, Jarvela S. Long-term effect of the use of a pain pump after arthroscopic subacromial decompression. Arthroscopy. 2008;24:1402–1406

 The authors report no conflict of interest.

PII: S0749-8063(09)00783-X

doi: 10.1016/j.arthro.2009.08.024

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 12 , Pages 1367-1373 , December 2009

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