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Treatment Of Postarthroscopic Glenohumeral Chondrolysis (PAGCL)

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Individuals that develop postarthroscopic glenohumeral chondrolysis experience a number of issues associated with the condition. The condition causes the deterioration of the cartilage in the shoulder joint, allowing the arm bone and the shoulder socket to rub together. Postarthroscopic glenohumeral chondrolysis causes extreme pain and individuals affected by the condition experience a gradual loss of mobility in the affected shoulder. Many individuals that develop the disorder never regain the full use of the affected shoulder joint. Some individuals treat the symptoms of the condition for many years without significant relief. The disorder can affect any individual of any age and individuals that are younger may be dealing with the pain of the condition for many years. There is no cure for the condition and the cartilage that is lost cannot be regrown or replaced.

Because postarthroscopic glenohumeral chondrolysis is a newly discovered condition, there is not much known about the condition or the best way to treat it. After the condition has been diagnosed, typically by x-ray images showing a reduction in the amount of space between the bone of the arm and the socket of the shoulder, many physicians attempt to treat the symptoms of the condition using various medications. Pain medications and anti-inflammatory medications are the drugs most often prescribed to deal with the condition. Individuals that develop postarthroscopic glenohumeral chondrolysis must take theses medications regularly for the rest of their lives. Even though strong pain medications may be used, individuals dealing with the condition report that the pain medications are not always effective against the pain caused by the condition.

Most patients that develop postarthroscopic glenohumeral chondrolysis will require some form of reparative surgery to deal with the condition. In severe cases of the condition, a surgical procedure called arthroplasty will be needed for the individual to regain the use of their arm. In an arthroplasty, the joint of the shoulder is replaced using items made of metal and plastic. In some cases, the socket of the shoulder and the ball of the arm bone must be replaced completely because the bones have been severely damaged by them grinding together. This surgery generally takes several hours to perform and the individuals that undergo the surgery will need an extensive recovery period. The recovery period consists of several days in the hospital after the procedure has been performed and months of physical therapy after that.

There are many complications that may result from arthroplasty. The individual may experience complications from the anesthesia used to sedate the individual during the surgery. Infections may occur immediately after the surgery that will take an extended period of time to cure and cause the patient great discomfort. Injury to the blood vessels or nerves may occur during the surgery, which may affect the individual in a number of ways. Many individuals try to manage the condition with medical remedies before finally opting for the surgical procedure. There is no standard treatment method for postarthroscopic glenohumeral chondrolysis and research continues into the most effective course of treatment for the condition.

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