Case Report| Volume 25, ISSUE 10, P1193-1197, October 2009

Third-Degree Burn From a Grounding Pad During Arthroscopy

Published:January 27, 2009DOI:


      We describe a healthy 59-year-old woman who sustained a third-degree burn from a grounding pad during shoulder arthroscopy. We wish to make surgeons aware of a rare complication associated with any arthroscopic procedure in which an electrocautery/grounding pad system is used. We detail the presentation, evaluation, treatment, and definitive care and review the possible causes of this complication and the mechanism by which an electrocautery/grounding pad system functions. Although this complication is not uncommon, we believe that this is the first case report describing a burn at the grounding pad site occurring during arthroscopy.

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        • Mundinger G.S.
        • Rozen S.M.
        • Carson B.
        • Greenberg R.S.
        • Redett R.J.
        Case report: Full-thickness forehead burn over indwelling titanium hardware resulting from an aberrant intraoperative electrocautery circuit.
        Eplasty. 2007; 8: e1
        • Fickling J.
        • Loeffler C.
        When is it necessary to use two patient return electrodes?.
        Clin Information Hotline News. July 2005; 10: 1-3
      1. Reducing grounding pad burns during high-current electrical procedures.
        in: 3M technical bulletin. 3M, St. Paul, MN2007: 1-7
      2. The science of PolyHesive patient return electrodes.
        Valleylab, Boulder, CO2000
        • Fickling J.
        • Loeffler C.
        Extreme energy demands and the traditional patient return electrode.
        Clin Information Hotline News. June 2008; 13: 1-3