Infection in Shoulder Arthroplasty: Prevention, Diagnosis, and Treatment

Instr Course Lect. 2024;73:513-526.ABSTRACTProsthetic joint infection is a devastating complication following shoulder arthroplasty that can lead to pain, poor function, and poor quality of life. With the increasing number of shoulder arthroplasties performed annually, recognition of prosthetic infection and treatment is necessary. The skin surrounding the shoulder has a unique microbiome, and Cutibacterium acnes is the most commonly encountered bacteria causing prosthetic joint infection. C acnes is a low-virulence organism that resides in the subcutaneous layer of the skin. As a result, the clinical presentation is typically less obvious than prosthetic infections seen in other joints such as the hip and knee. Therefore, diagnosis is not always straightforward, and optimal treatment strategy is unclear. Guidance on prevention, diagnosis, and treatment of shoulder prosthetic joint infection with special emphasis on the consensus definition established at the 2018 International Consensus Meeting is provided.PMID:38090921

Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Grant E Garrigues Albert Lin Alexander J Hodakowski Amin Karimi Noah J Quinlan Paul S Pottinger Jason E Hsu Source Type: research