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Diagnosis and Management of the Infected Shoulder Arthroplasty

  • Ryan L. Eschbaugh
  • Joseph P. Iannotti
  • Eric T. RicchettiEmail author
Chapter

Abstract

Infection after shoulder arthroplasty, while representing less than 5% of all complications, can be devastating for the patient. The most common presenting complaint is pain independent of activity, and the diagnosis requires a high degree of suspicion by the treating surgeon. The most common bacteria isolated are Propionibacterium acnes (P. acnes) and coagulase negative Staphylococcus, which due to their indolent nature produce a blunted host response. In an otherwise healthy patient, there is data to support either one- or two-stage revision surgery including culture-specific antibiotics. In cases where salvage is required, resection arthroplasty can offer pain relief with limited functional goals.

Keywords

Shoulder Arthroplasty Replacement Periprosthetic Infection Propionibacterium 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ryan L. Eschbaugh
    • 1
  • Joseph P. Iannotti
    • 1
  • Eric T. Ricchetti
    • 1
    Email author
  1. 1.Orthopaedic and Rheumatologic Institute, Cleveland ClinicClevelandUSA

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