Post Arthroscopic Glenohumeral Chondrolysis (PAGCL) is a devastating complication of arthroscopic shoulder surgery where the cartilage in the shoulder begins to deteriorate months after surgery, causing pain, stiffness, and sometimes the inability to use the affected shoulder.
While PAGCL is relatively uncommon, a study published on July 3, 2007 in The American Journal of Sports Medicine concluded that the use of intra-articular pain pumps with arthroscopic shoulder surgery was highly associated with PAGCL. This association was greatest when the intra-articular pain pumps were used to deliver a combination of the painkillers bupivacaine and epinephrine to the shoulder joint.
Pain Pumps linked to PAGCL cases
In the continuing trend of complications associated with surgeries in the field of shoulder arthoroscopy, the rise of complications involving an intraarticular catheter or pain pump have received much publicity. The problem is known as Postarthroscopic Glenohumeral Chondrolysis (PAGCL ), a chronic, oftentimes irreversible condition, causing severe pain, limiting movement, and a host of other complications. Arthroscopic surgery, a minimally invasive surgical procedure, is oftentimes used to diagnose problems present in the knee, spine, wrist and, more recently, the shoulder.
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Doctors concerned about rise of PAGCL cases
Postarthroscopic Glenohumeral Chondrolysis (PAGCL) is a serious, debilitating condition that occurs after arthroscopic surgery. Several reports published in a wide array of scientific and medical journals have raised questions about the many possible complications associated with arthroscopic surgery within the shoulder joint. In cases of PAGCL , the cartilage between the humerus(the bone from the elbow to the shoulder) and the scapula(shoulder blade) has severely deteriorated, to the point where the bones grind into each other, creating intense pain.
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PAGCL News Articles
Sticker Shock At The Pump As Gas Hits $4.15 Per Gallon | NBC 4i
Pain at pump worsens as stations hit $4.19 a gallon | The Indianapolis Star | indystar.com
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