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A temporary pain pump used after shoulder surgery to administer medication directly into the joint space has been linked to Postarthroscopic Glenohumeral Chondrolysis (PAGCL). This is a severe condition associated with increased pain and loss of cartilage and shoulder joint space.
A study that appeared in the July 3, 2007 edition of AJSM PreView, an online feature of The American Journal of Sports Medicine showed that use of pain pump catheters after surgery to deliver pain medication to the shoulder joints of patients who have undergone arthroscopic shoulder surgery is linked to PAGCL.
Symptoms of PAGCL may include:
The study reviewed 177 arthroscopic shoulder surgeries performed over a 19 month period, of which 30 shoulders underwent arthroscopic shoulder stabilization procedures. Of those 30 cases, 12 shoulders (63%) developed chondrolysis. All of the affected shoulders had received post-surgical pain pump catheters.
A pain pump is a disposable device with a catheter or tube, temporarily inserted into the shoulder following arthroscopic shoulder surgery that is used to deliver pain medication directly into the shoulder joint. The device is usually removed approximately 2-3 days after surgery. The use of certain pain pump catheters following arthroscopic shoulder surgery may be linked to a condition called Postarthroscopic Glenohumeral Chondrolysis (PAGCL).
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