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Chondrolysis of the glenohumeral joint following arthroscopic capsular release for adhesive capsu litis: a case report

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

This is a case of glenohumeral chondrolysis, following arthroscopy for adhesive capsulitis of the shoulder, during which, capsular release has been performed using a bipolar radio frequency energy probe. Heat produced during the procedure by the radio frequency energy probe, probably was the reason behind the occurance of such a rare pathological entity. Chondrolysis has to be put on the top of the list of complications that may occur following arthroscopy, whenever radio frequency energy tools are used. This is not because it is a common one, but because of the difficulty in managing it.

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References

  1. Berkhead W, Krishnan S (2004) Focal osreonecrosis and severe chondrolysis following thermal capsulorrhaphy. J Arthrosc 20(5):27–28

    Google Scholar 

  2. Buckwalter J, Mankin H (1997) Instructional course lectures, the American academy of orthopaedic surgeons—articular cartilage. Part 11: degeneration and osteoarthrosis, repair, regeneration, and transplantation. J Bone Joint Surg Am 79:692–632

    Google Scholar 

  3. Edwards R, Lu Y, Rodrigeuz, Markel M (2002 Thermometric determination of cartilage matrix temperature during thermal chondroplasty. Comparison of bipolar and monopolar radio frequency devices. J Arthrosc 18 (4):339–346

    Google Scholar 

  4. Edwards R, Lu Y, Nho S, Cole B, Markel M (2002 Thermal chondroplasty of chondromalacic human cartilage. An ex vivo comparison of bipolar and monopolar radio frequency devices. Am J Sports Med 30:90–97

    PubMed  Google Scholar 

  5. Hogan C, Diduch D (2001) Progressive articular cartilage loss following radio frequency treatment of a partial-thickness lesion. J Arthrosc 17(6):E24

    CAS  Google Scholar 

  6. Jerosch J (2001) 360 degrees arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint-indications, surgical technique and results. Knee Surg Sports Traumatol Arthrosc 9:178–186

    Article  PubMed  CAS  Google Scholar 

  7. Jerosch J, Schnepenheim M (2003) Management of infected shoulder replacement. Arch Orthop Trauma Surg 13:209–214

    Google Scholar 

  8. Kaplan L, Uribe J, Sasken H, Markarian G (2000) The acute effects of radio frequency energy in articular cartilage: an in vitro study. J Arthrosc 16(1):2–5

    CAS  Google Scholar 

  9. Kaplan L, Chu C, Bradely J, Fu F, Studer R (2003) Recovery of chondrocyte metabolic activity after thermal exposure. Am J Sports Med 31:392–398

    PubMed  Google Scholar 

  10. Levine W, Clark M, D’Alessandro D, Yamagushi K (2005) Chondrolysis following arthroscopic thermal capsulorrhaphy to treat shoulder instability. J Bone Joint Surg Am 87-A(3):616–621

    Article  Google Scholar 

  11. Lu Y, Hayashi K, Hecht P, Fanton G, Thabit G, Cooley A, Edwards R, Markel M (2000) The effect of monopolar radio frequency on partial-thickness defects of articular cartilage. J Arthrosc 16(5):327–336

    Google Scholar 

  12. Lu Y, Edwards R, Kalscheur V, Nho S, Cole B, Markel M (2001) Effect of bipolar radio frequency energy on human articular cartilage. Comparison of confocal laser microscopy and light microscopy. J Arthrosc 17(2):117–123

    CAS  Google Scholar 

  13. Lu Y, Edwards R, Nho S, Cale, Markel M (2002) Larage solution temperature influences depth of chondrocyte death and surface contouring during thermal chondroplasty with temperature-controlled monopolar radio frequency energy. Am J Sports Med 30:667–673

    PubMed  Google Scholar 

  14. Lu Y, Bogdanske J, Lopez M, Cole B, Markel M (2005) Effect of simulated shoulder thermal capsulorrhaphy using radio frequency energy of glenohumeral fluid temperature. J Arthrosc 21(5):592–596

    Google Scholar 

  15. Petty D, Jazrawi L, Estrada L, Andrews J (2004) Glenohumeral chondrolysis after shoulder arthroscopy. Case reports and review of the literature. Am J Sports Med 32:509–515

    Article  PubMed  Google Scholar 

  16. Sperling J, Anderson K, McCarty E, Warren R (2001) Complications of thermal capsulorrhaphy. Instr Course Lect 50:37–41

    PubMed  CAS  Google Scholar 

  17. Wong K, Williams G (2001) Complications of thermal capsulorrhaphy of the shoulder. J Bone Joint Surg Am 83-A(Suppl pt 2):151–155

    PubMed  Google Scholar 

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Correspondence to Joerg Jerosch.

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Jerosch, J., Aldawoudy, A.M. Chondrolysis of the glenohumeral joint following arthroscopic capsular release for adhesive capsu litis: a case report. Knee Surg Sports Traumatol Arthrosc 15, 292–294 (2007). https://doi.org/10.1007/s00167-006-0112-z

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  • DOI: https://doi.org/10.1007/s00167-006-0112-z

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