title: [Postarthroscopic glenohumeral chondrolysis--are there any causal factors? Case report].
abstract: BACKGROUND
  Postarthroscopic glenohumeral chondrolysis (PAGCL) is a rare complication of shoulder arthroscopy. PAGCL describes a chondrolysis in the shoulder joint after arthroscopy mostly affecting younger patients. The process leading to chondrolysis is not known yet.
  
  
  METHODS
  The case report describes a patient with rapid progress of the PAGCL. A literature review with key words: PAGCL, postarthroscopic glenohumeral chondrolysis, shoulder arthroscopy AND chondrolysis, chondronecrosis AND arthroscopy was carried out.
  
  
  RESULTS
  16 Publications involving case reports with 96 cases were found. The mean age at operation was 28 ± 10 years (range: 13 to 61 years). The majority of patients (62%) were male. 8 diagnoses at index operation were found. 63% received intraarticular local anaesthetics (62% bupivacain, 21% bupivacain and epinephrin, 2% lidocain) through a pain pump.
  
  
  CONCLUSIONS
  PAGCL is a rare and disturbing complication after shoulder arthroscopy. The majority of the patients are young and male. A relevant causal factor is an intraarticular pain pump with bupivacain. Other factors have not yet been verified. A multifactorial aetiology is likely. No specific and effective treatment regimen is described.
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie der Eberhard Karls Universität Tübingen, BG Unfallklinik Tübingen. schroeter.steffen@t-online.de
authors.forename: S
authors.initials: S
authors.lastname: Schröter
authors.forename: O
authors.initials: O
authors.lastname: Lutz
authors.forename: C E
authors.initials: CE
authors.lastname: Gonser
authors.forename: A
authors.initials: A
authors.lastname: Ateschrang
authors.forename: A
authors.initials: A
authors.lastname: Badke
authors.forename: D
authors.initials: D
authors.lastname: Albrecht
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000009:adverse effects*; D002357:Cartilage Diseases / Q000209:etiology* / Q000473:pathology*; D006801:Humans; D008297:Male; D012785:Shoulder Joint / Q000473:pathology* / Q000601:surgery*