Infection After Shoulder Surgery

Origin of Propionibacterium in Surgical Wounds and Evidence-Based Approach for Culturing Propionibacterium from Surgical Sites

“…This result is consistent with previous observations in the shoulder 10,40,45,46 and in the spine 41 . Propionibacterium usually did not grow on culture of dermal specimens from female subjects whereas dermal cultures were commonly positive for male patients.…”

“…P ropionibacterium species are often grown on culture of specimens obtained at the time of orthopaedic revision surgery. The pathogenicity of this organism has been demonstrated for patients who have undergone shoulder implant surgery [1][2][3][4][5][6][7][8][9][10][11][12][13][14] , hip or knee arthroplasty [15][16][17][18][19][20][21][22] , or spine surgery [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] . While many cases of Propionibacterium infections are attributed to Propionibacterium acnes, other species of Propionibacterium have been recovered from revision surgical sites 38 .…”

Evolving trends in surgically managed patients with proximal humerus fracture: are we different after ten years?

“…Such low rates of wound infections are consistent with that reported in the existing literature. (27) Fracture union was achieved in 97.9% of our patients following operative fixation. No complication from MIPO cases was noted.…”

Preoperative and intraoperative infection workup in apparently aseptic revision shoulder arthroplasty

“…Variable and often poor sensitivity and specificity of nuclear imaging in diagnosis of PSI make the interpretation of the findings difficult. 40 Synovial fluid culture from joint aspiration Aspiration of the glenohumeral joint is an important diagnostic test for PSI. Joint aspiration should be done under appropriate imaging guidance to reduce the possibility of false dry tap.…”