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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
PubMed

Insights

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.

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.

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