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Case Reports
. 2023 Dec 14;8(2):322-327.
doi: 10.1016/j.jseint.2023.11.011. eCollection 2024 Mar.

Shoulder prosthetic joint infections presenting as atypical sinus tracts - A case series

Erik S Contreras  1 , Mandeep S Virk  1 , Young W Kwon  1 , Joseph D Zuckerman  1
Affiliations
Case Reports

Shoulder prosthetic joint infections presenting as atypical sinus tracts - A case series

Erik S Contreras et al. JSES Int. .
No abstract available

Keywords: Infection; Shoulder replacement; Sinus tract.

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Figures

Figure 1
Figure 1
Case 1. CT scan showing subcutaneous anterior chest wall fluid collection. CT, computed tomography.
Figure 2
Figure 2
Case 1. Preoperative clinical photo showing anterior chest wall drain with purulent fluid.
Figure 3
Figure 3
Case 2. MRI showing communication of a posterior fluid collection to the shoulder joint. MRI, magnetic resonance imaging.
Figure 4
Figure 4
Case 2. Revision RSA (Left). Displacement of baseplate (Center). Revision to hemiarthroplasty (Right). RSA, reverse shoulder arthroplasty.
Figure 5
Figure 5
Case 3. CT sinogram showing posterior sinus tract and contrast dye in the glenohumeral joint. CT, computed tomography.
Figure 6
Figure 6
Case 4. MRI showing posterior sinus tracking from the glenohumeral joint. MRI, magnetic resonance imaging.
Figure 7
Figure 7
Case 5. Radiolucencies around the humeral stem, concerning for loosening and possible infection.
Figure 8
Figure 8
Case 6. MRI showing axillary fluid collection. MRI, magnetic resonance imaging.
See this image and copyright information in PMC

References

    1. Contreras E.S., Frantz T.L., Bishop J.Y., Cvetanovich G.L. Periprosthetic infection after reverse shoulder arthroplasty: a review. Curr Rev Musculoskelet Med. 2020;13:757–768. doi: 10.1007/s12178-020-09670-8. - DOI - PMC - PubMed
    1. Garrigues G.E., Zmistowski B., Cooper A.M., Green A., Abboud J., Beazley J., et al. Proceedings from the 2018 international consensus meeting on orthopedic infections: evaluation of periprosthetic shoulder infection. J Shoulder Elbow Surg. 2019;28:S32–S66. doi: 10.1016/j.jse.2019.04.016. - DOI - PubMed
    1. Garrigues G.E., Zmistowski B., Cooper A.M., Green A., Hsu J., Ricchetti E., et al. Proceedings from the 2018 international consensus meeting on orthopedic infections: the definition of periprosthetic shoulder infection. J Shoulder Elbow Surg. 2019;28:S8–S12. doi: 10.1016/j.jse.2019.04.034. - DOI - PubMed
    1. Kunutsor S.K., Barrett M.C., Whitehouse M.R., Craig R.S., Lenguerrand E., Beswick A.D., et al. Incidence, temporal trends and potential risk factors for prosthetic joint infection after primary total shoulder and elbow replacement: systematic review and meta-analysis. J Infect. 2020;80:426–436. doi: 10.1016/j.jinf.2020.01.008. - DOI - PubMed
    1. Lovy A.J., Keswani A., Beck C., Dowdell J.E., Parsons B.O. Risk factors for and timing of adverse events after total shoulder arthroplasty. J Shoulder Elbow Surg. 2017;26:1003–1010. doi: 10.1016/j.jse.2016.10.019. - DOI - PubMed

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