词条 | Postarthroscopic glenohumeral chondrolysis |
释义 |
| name = | synonym = | image = Blausen 0797 ShoulderJoint.png | image_size = | alt = | caption = Human shoulder(joint) | pronounce = | specialty = | symptoms = | complications = | onset = | duration = | types = | causes = | risks = Complication of arthroscopic surgery | diagnosis = | differential = | prevention = | treatment = | medication = | prognosis = | frequency = | deaths = }}Postarthroscopic glenohumeral chondrolysis (PAGCL) is a rare complication of arthroscopic surgery and involves chondrolysis wherein the articular cartilage of the shoulder undergoes rapid, degenerative changes shortly after arthroscopic surgery.[1] CausesBupivacaine, lidocaine, ropivacaine and levobupivacaine are all toxic to cartilage and their intra-articular infusions can lead to this toxic effect.[2] Intra-articular pain pumps with local anesthetics have been implicated as a potential cause.[3]Diagnosis{{Empty section|date=September 2017}}TreatmentTotal Joint Arthroplasty or reverse total joint arthroplasty (shoulder replacement surgery) References1. ^{{cite journal|last1=Yeh|first1=PC|last2=Kharrazi|first2=FD|title=Postarthroscopic glenohumeral chondrolysis.|journal=The Journal of the American Academy of Orthopaedic Surgeons|date=February 2012|volume=20|issue=2|pages=102-12|doi=10.5435/JAAOS-20-02-102|pmid=22302448}} {{Osteochondropathy}}{{Inflammation}}{{musculoskeletal-disease-stub}}2. ^{{cite journal|last1=Gulihar|first1=Abhinav|last2=Robati|first2=Shibby|last3=Twaij|first3=Haider|last4=Salih|first4=Alan|last5=Taylor|first5=Grahame J.S.|title=Articular cartilage and local anaesthetic: A systematic review of the current literature|journal=Journal of Orthopaedics|date=December 2015|volume=12|pages=S200–S210|doi=10.1016/j.jor.2015.10.005|pmid=27047224|pmc=4796530}} 3. ^{{cite journal|last1=Busfield|first1=Benjamin T.|last2=Romero|first2=Denise M.|last3=Korshad|first3=Daniel|last4=Kharrazi|first4=F. Daniel|title=Subacromial pain pump use is safe after arthroscopic rotator cuff repair|journal=Journal of Orthopaedics|date=June 2014|volume=11|issue=2|pages=64–67|doi=10.1016/j.jor.2014.04.012|pmid=25104887|pmc=4118566}} 5 : Orthopedic surgical procedures|Local anesthetics|Chondropathies|Rare diseases|Rheumatology |
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