Source:http://linkedlifedata.com/resource/pubmed/id/19501296
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
2009-6-8
|
| pubmed:abstractText |
Shoulder arthroscopy has become a routine outpatient surgery. Pain control is a limiting factor for patient discharge after surgery, and several modalities are used to provide continued analgesia postoperatively. Regional anesthetic blocks and shoulder pain pumps are common methods to provide short-term pain control. Shoulder pain pumps can be used either in the subacromial space or within the glenohumeral joint. Several clinical studies suggested--which was confirmed by a bovine and rabbit cartilage study--that there is significant chondrotoxicity from bupivacaine, a local anesthetic commonly used in pain pumps. Postarthroscopic glenohumeral chondrolysis is a noninfectious entity associated with factors including use of radiofrequency thermal instruments and intra-articular pain pumps that administer bupivacaine, but there have been no cases reported with subacromial pain pump placement. Treatment options are difficult in a young patient with postarthroscopic glenohumeral chondrolysis, and understanding the literature with regard to risk factors is paramount to counseling patients and preventing this devastating complication.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
1526-3231
|
| pubmed:author | |
| pubmed:issnType |
Electronic
|
| pubmed:volume |
25
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
647-52
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| pubmed:meshHeading |
pubmed-meshheading:19501296-Adjuvants, Anesthesia,
pubmed-meshheading:19501296-Adolescent,
pubmed-meshheading:19501296-Adult,
pubmed-meshheading:19501296-Analgesia, Patient-Controlled,
pubmed-meshheading:19501296-Anesthetics, Local,
pubmed-meshheading:19501296-Animals,
pubmed-meshheading:19501296-Arthroscopy,
pubmed-meshheading:19501296-Bupivacaine,
pubmed-meshheading:19501296-Cartilage, Articular,
pubmed-meshheading:19501296-Cartilage Diseases,
pubmed-meshheading:19501296-Catheter Ablation,
pubmed-meshheading:19501296-Cattle,
pubmed-meshheading:19501296-Chondrocytes,
pubmed-meshheading:19501296-Epinephrine,
pubmed-meshheading:19501296-Humans,
pubmed-meshheading:19501296-Infusion Pumps, Implantable,
pubmed-meshheading:19501296-Infusions, Parenteral,
pubmed-meshheading:19501296-Injections, Intra-Articular,
pubmed-meshheading:19501296-Joint Capsule,
pubmed-meshheading:19501296-Pain, Postoperative,
pubmed-meshheading:19501296-Rabbits,
pubmed-meshheading:19501296-Rotator Cuff,
pubmed-meshheading:19501296-Shoulder,
pubmed-meshheading:19501296-Shoulder Joint,
pubmed-meshheading:19501296-Young Adult
|
| pubmed:year |
2009
|
| pubmed:articleTitle |
Pain pump use after shoulder arthroscopy as a cause of glenohumeral chondrolysis.
|
| pubmed:affiliation |
Arthritis, Orthopedic, and Sports Medical Center, Glendale, California 91206, USA. bbusfield@yahoo.com
|
| pubmed:publicationType |
Journal Article,
Review
|