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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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followed since <strong>the</strong>ir initial presentation, with <strong>the</strong> remainder presenting for evaluation only, at<strong>the</strong> suggestion <strong>of</strong> <strong>the</strong>ir attorneys. Of those 17 patients, 7 were male and mean age at <strong>the</strong> time <strong>of</strong><strong>the</strong>ir index surgery was 28.6 years (range 15-55 years). Two patients developed chondrolysis asa result <strong>of</strong> prominent suture anchors and 15 as a result <strong>of</strong> an IAPP delivering bupivacaine. Twopatients <strong>under</strong>went placement <strong>of</strong> an IAPP following closed manipulation for adhesive capsulitisand 13 <strong>under</strong>went IAPP placement following arthroscopic labrum repair or capsular plicationusing one to seven suture anchors. Onset <strong>of</strong> symptoms related to chondrolysis, such asincreased pain, stiffness and crepitation, occurred at a mean 8 months (range 1-32 months)following <strong>the</strong> index procedure. Twelve <strong>of</strong> <strong>the</strong> 17 patients <strong>under</strong>went one or more additionalarthroscopic procedure, typically for debridement and chondroplasty, and in some cases,capsular release. A loose suture anchor was found in one joint at arthroscopy, which wasremoved. Eleven patients had radiographs documenting joint space obliteration at most recentfollow-up or at <strong>the</strong> time <strong>of</strong> pros<strong>the</strong>tic shoulder arthroplasty. At most recent follow-up, 7patients had <strong>under</strong>gone 3 total shoulder replacements and 4 humeral head resurfacingprocedures. Four o<strong>the</strong>r patients were contemplating pros<strong>the</strong>tic shoulder arthroplasty. For those<strong>under</strong>going shoulder replacement, range <strong>of</strong> motion recovered modestly so that active forwardelevation improved from 111° to 137° (p

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