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Infection after shoulder surgery.

Matthew D Saltzman¹, Geoffrey S Marecek, Sara L Edwards

¹Department of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.

The Journal of the American Academy of Orthopaedic Surgeons

|April 6, 2011

Summary

This summary is machine-generated.

Shoulder surgery infections, though rare, can be severe. Prompt diagnosis and treatment, including antibiotics and surgery, are crucial for successful eradication, despite potential long-term functional impacts.

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Area of Science:

Orthopedic Surgery
Infectious Diseases
Microbiology

Background:

Surgical site infections (SSIs) following shoulder surgery are infrequent but can lead to significant morbidity.
Common pathogens include Staphylococcus aureus, Staphylococcus epidermidis, and Propionibacterium acnes, part of normal skin flora.

Purpose of the Study:

To highlight the importance of perioperative infection prevention strategies.
To outline diagnostic and management approaches for shoulder surgery infections.
To discuss treatment challenges and outcomes.

Main Methods:

Review of common pathogens and their sources.
Description of diagnostic criteria for superficial and deep infections.
Outline of treatment modalities including antibiotics, wound care, surgical débridement, and revision arthroplasty.

Main Results:

Superficial infections may respond to local measures and antibiotics.
Deep infections necessitate surgical débridement and antibiotics.
Treatment decisions involve complex considerations regarding antibiotic duration and surgical intervention.

Conclusions:

Eradication of deep shoulder surgery infections is typically achievable but often requires prolonged treatment.
Tissue damage and scarring can negatively impact functional outcomes post-treatment.