Abstract
Background: Recent studies have identified Propionibacterium acnes as the causal organism in an increasing number of postoperative shoulder infections. Most reports have found a high rate of P acnes infection after open surgery, particularly shoulder arthroplasty. However, there are limited data regarding P acnes infections after shoulder arthroscopy. Materials and methods: We prospectively collected data on all shoulder arthroscopies performed by the senior author from January 1, 2009, until April 1, 2013. Cultures were taken in all revision shoulder arthroscopy cases performed for pain, stiffness, or weakness. In addition, 2 cultures were taken from each of a cohort of 32 primary shoulder arthroscopy cases without concern for infection to determine the false-positive rate. Results: A total of 1,591 shoulder arthroscopies were performed during this period, 68 (4.3%) of which were revision procedures performed for pain, stiffness, or weakness. A total of 20 revision arthroscopies (29.4%) had positive culture findings, and 16 (23.5%) were positive for P acnes. In the control group, 1 patient (3.2%) had P acnes growth. Conclusions: The rate of P acnes infection in patients undergoing revision shoulder arthroscopy is higher than previously published and should be considered in cases characterized by refractory postoperative pain and stiffness.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 838-843 |
| Number of pages | 6 |
| Journal | Journal of Shoulder and Elbow Surgery |
| Volume | 24 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1 2015 |
| Externally published | Yes |
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Keywords
- Arthroscopic surgery
- Complications
- Infection
- Pain
- Propionibacterium acnes
- Revision surgery
- Stiffness
- Synovitis
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
- Medicine(all)
Cite this
Propionibacterium acnes infection in shoulder arthroscopy patients with postoperative pain. / Horneff, John G.; Hsu, Jason E.; Voleti, Pramod B.; O'Donnell, Judith; Huffman, G. Russell.
In: Journal of Shoulder and Elbow Surgery, Vol. 24, No. 6, 01.06.2015, p. 838-843.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Propionibacterium acnes infection in shoulder arthroscopy patients with postoperative pain
AU - Horneff, John G.
AU - Hsu, Jason E.
AU - Voleti, Pramod B.
AU - O'Donnell, Judith
AU - Huffman, G. Russell
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Background: Recent studies have identified Propionibacterium acnes as the causal organism in an increasing number of postoperative shoulder infections. Most reports have found a high rate of P acnes infection after open surgery, particularly shoulder arthroplasty. However, there are limited data regarding P acnes infections after shoulder arthroscopy. Materials and methods: We prospectively collected data on all shoulder arthroscopies performed by the senior author from January 1, 2009, until April 1, 2013. Cultures were taken in all revision shoulder arthroscopy cases performed for pain, stiffness, or weakness. In addition, 2 cultures were taken from each of a cohort of 32 primary shoulder arthroscopy cases without concern for infection to determine the false-positive rate. Results: A total of 1,591 shoulder arthroscopies were performed during this period, 68 (4.3%) of which were revision procedures performed for pain, stiffness, or weakness. A total of 20 revision arthroscopies (29.4%) had positive culture findings, and 16 (23.5%) were positive for P acnes. In the control group, 1 patient (3.2%) had P acnes growth. Conclusions: The rate of P acnes infection in patients undergoing revision shoulder arthroscopy is higher than previously published and should be considered in cases characterized by refractory postoperative pain and stiffness.
AB - Background: Recent studies have identified Propionibacterium acnes as the causal organism in an increasing number of postoperative shoulder infections. Most reports have found a high rate of P acnes infection after open surgery, particularly shoulder arthroplasty. However, there are limited data regarding P acnes infections after shoulder arthroscopy. Materials and methods: We prospectively collected data on all shoulder arthroscopies performed by the senior author from January 1, 2009, until April 1, 2013. Cultures were taken in all revision shoulder arthroscopy cases performed for pain, stiffness, or weakness. In addition, 2 cultures were taken from each of a cohort of 32 primary shoulder arthroscopy cases without concern for infection to determine the false-positive rate. Results: A total of 1,591 shoulder arthroscopies were performed during this period, 68 (4.3%) of which were revision procedures performed for pain, stiffness, or weakness. A total of 20 revision arthroscopies (29.4%) had positive culture findings, and 16 (23.5%) were positive for P acnes. In the control group, 1 patient (3.2%) had P acnes growth. Conclusions: The rate of P acnes infection in patients undergoing revision shoulder arthroscopy is higher than previously published and should be considered in cases characterized by refractory postoperative pain and stiffness.
KW - Arthroscopic surgery
KW - Complications
KW - Infection
KW - Pain
KW - Propionibacterium acnes
KW - Revision surgery
KW - Stiffness
KW - Synovitis
UR - http://www.scopus.com/inward/record.url?scp=84929190534&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84929190534&partnerID=8YFLogxK
U2 - 10.1016/j.jse.2015.03.008
DO - 10.1016/j.jse.2015.03.008
M3 - Article
VL - 24
SP - 838
EP - 843
JO - Journal of Shoulder and Elbow Surgery
JF - Journal of Shoulder and Elbow Surgery
SN - 1058-2746
IS - 6
ER -