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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Related Experiment Video

Updated: Sep 27, 2025

Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
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[Pain after Shoulder Prosthesis Is Not Always Due to Infection or Loosening].

Jana Jensen1, Patrick Vavken1,2

  • 1ADUS Klinik, Dielsdorf, Schweiz.

Praxis
|April 13, 2022
PubMed
Summary

Persistent shoulder pain after surgery may stem from suprascapular nerve neuropathy, not just infection or loosening. Early diagnosis and treatment are crucial for effective management of this condition.

Keywords:
ProtheseSchmerzSchulterShoulderSuprascapularispainprosthesissuprascapular

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Area of Science:

  • Orthopedics
  • Neurology
  • Surgical Complications

Background:

  • Shoulder prosthesis surgery is common for debilitating shoulder conditions.
  • Persistent post-operative shoulder pain can significantly impact patient quality of life.
  • Infection and aseptic loosening are common considerations for shoulder pain after prosthesis.

Purpose of the Study:

  • To highlight suprascapular nerve neuropathy as an underrecognized cause of persistent shoulder pain post-prosthesis.
  • To emphasize the diagnostic challenges and delayed treatment associated with this condition.
  • To increase awareness among general practitioners regarding this specific neuropathy.

Main Methods:

  • Case study presentation of a patient with post-shoulder prosthesis pain.
  • Review of potential causes including iatrogenic injury, ganglionic compression, and traction.
  • Discussion of diagnostic delays and therapeutic implications.

Main Results:

  • Suprascapular nerve neuropathy is an increasingly recognized cause of persistent shoulder pain.
  • The condition can arise from iatrogenic factors, ganglion cysts, or nerve traction.
  • Delayed diagnosis frequently hinders adequate and timely therapeutic intervention.

Conclusions:

  • Suprascapular nerve neuropathy should be considered in cases of persistent shoulder pain after prosthesis.
  • Increased clinical suspicion and prompt diagnostic evaluation are necessary.
  • Raising awareness can improve patient outcomes by facilitating earlier treatment.