Arthroscopic Shoulder Surgery Recovery

Many athletes have developed the condition known as chondrolysis after routine surgery. This has intrigued many researchers and led to a further review of the literature. An interesting study is called, "chondrolysis after partial lateral meniscectomy in athletes" by Pier Paolo Mariani, Raffaele Garofalo and Margheritini Fabrizio - Volume 16, Number 6 / June 2008 knee surgery - Sports Traumatology, Arthroscopy.

Here's an excerpt: "Summary - Quick chondrolysis after arthroscopic partial lateral meniscectomy has been seldom reported in the literature. Considering the relatively high number of partial lateral meniscectomy performed, we can not understand why this complication is rare. The purpose of this paper is to report a series of athletes developing a chondrolysis associated with posterolateral corner laxity after a partial lateral meniscectomy and attempt to hypothesize the pathogenesis of this devastating complication. Five players men's professional soccer league with Italian a mean age of 26.8 years underwent a partial lateral meniscectomy because of a traumatic lateral meniscus tear. "patients showed a slight varus knee and there were clinical signs compatible with a torn meniscus.

No other pathological sign were found. An MRI confirmed these findings. After surgery patients were unable to resume sports activities because of the swelling and pain in the knee during training sessions. At an average of 8 months (range 6-12 months) from surgery patients were reviewed and a new MRI was performed. Clinical examination revealed a slight swelling of the knee and signs of posterolateral corner laxity. MRI revealed intra-articular fluid and pathological findings of knee posterolateral corner associated with a thinning of the articular cartilage. Arthroscopy showed cartilaginous debris floating free in the knee and a high degree of cartilage damage on the lateral compartment. The evaluation of the lateral compartment, ruled-out a new tear of the meniscus and the rest showed a positive drive-trough with the knee in Fig. 4 Positioning.

All patients underwent re-open the posterior capsule tension meniscofemoral, and in one case, an increase of popliteal tendon using a free graft semitendinous was also performed. This surgery was a complete resolution of symptoms and patients resumed sports activities without any restriction after a period of 4 to 5 months. Based on this experience, we hypothesize that partial lateral meniscectomy may have a role in the emergence of a subtle rotational instability, combined with high stress of sports activity can dramatically increase the sensitivity of the joint chondrolysis, Varus knee seems to be a possible predisposing factor. Open surgery at the lack of lateral or posterolateral angle was found to be effective in improving knee function and resolve patients symptoms at a short-term monitoring. "

Another interesting source is called "complications of surgery on the knee and shoulder
Management and treatment options for orthopedic sports medicine "by Robert J. Meislin and Jeffrey Halbrecht - Pages 175-187. Here's an excerpt:" As participation in athletic and overhead of collision increases, risk of shoulder instability. Many young and middle aged people are interested in activities that put their shoulders at risk. Since age is a factor, there is a limited possibility of returning to sport. sports medicine physicians need to apply the best techniques available to enable the athlete to continue participation, while minimizing the risk of developing premature degenerative arthritis.1 expectations are high and many athletes believe that most can be returned to full participation. The obstacle that stands in the way of a complete cure is the resurgence of political instability.