Periprosthetic shoulder infection: an overview

Nicolas Bonnevialle (1, 2) , Florence Dauzères (1) , Julien Toulemonde (1) , Fanny Elia (1) , Jean-Michel Laffosse (1, 2) , Pierre Mansat (1, 2)

1 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
2 IMFT - Institut de mécanique des fluides de Toulouse

Periprosthetic shoulder infection (PSI) is rare but potentially devastating. The rate of PSI is increased in cases of revision procedures, reverse shoulder implants and co-morbidities. One specific type of PSI is the occurrence of low-grade infections caused by non-suppurative bacteria such as Propionibacterium acnes or Staphylococcus epidemermidis.Success of treatment depends on micro-organism identification, appropriate surgical procedures and antibiotic administration efficiency. Post-operative early PSI can be treated with simple debridement, while chronic PSI requires a one- or two-stage revision procedure. Indication for one-time exchange is based on pre-operative identification of a causative agent. Resection arthroplasty remains an option for low-demand patients or recalcitrant infection.

Mots clés: Propionibacterium acnes; Arthroplasty; Infection; Revision; Shoulder

Domaines: Médecine humaine et pathologie

Nicolas Bonnevialle, Florence Dauzères, Julien Toulemonde, Fanny Elia, Jean-Michel Laffosse, et al.. Periprosthetic shoulder infection: an overview. EFORT Open Reviews, 2017, 2 (4), pp.104-109. ⟨10.1302/2058-5241.2.160023⟩. ⟨hal-02135114⟩