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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-06-2016 | Shoulder

Acute infection with Propionibacterium acnes after a Latarjet coracoid transfer procedure: a case report

Authors: Brandon J. Erickson, Sanjeev Bhatia, Debdut Biswas, Nikhil N. Verma

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 6/2016

Abstract

Coracoid transfer procedures are highly effective at improving glenohumeral stability in patients with recurrent shoulder instability; complication rates from this procedure are generally low. We present the first case in the literature of a Propionibacterium acnes (P. acnes) infection following a coracoid transfer. The case stresses the importance of proper antibiotic prophylaxis for patients undergoing Latarjet procedures, as well as the workup for a painful postoperative shoulder, and the need to maintain cultures from the shoulder for up to 21 days to isolate P. acnes.

Level of evidence V.

Bhatia S, Ghodadra NS, Romeo AA, Bach BR, Verma NN, Vo ST, Provencher MT (2011) The importance of the recognition and treatment of glenoid bone loss in an athletic population. Sports Health 3(5):435–440CrossRefPubMedPubMedCentral

Bhatia S, Van Thiel GS, Gupta D, Ghodadra N, Cole BJ, Bach BR Jr, Shewman E, Wang VM, Romeo AA, Verma NN, Provencher MT (2013) Comparison of glenohumeral contact pressures and contact areas after glenoid reconstruction with latarjet or distal tibial osteochondral allografts. Am J Sports Med 41(8):1900–1908CrossRefPubMed

Butt U, Charalambous CP (2012) Complications associated with open coracoid transfer procedures for shoulder instability. J Shoulder Elbow Surg 21(8):1110–1119CrossRefPubMed

Crane JK, Hohman DW, Nodzo SR, Duquin TR (2013) Antimicrobial susceptibility of Propionibacterium acnes isolates from shoulder surgery. Antimicrob Agents Chemother 57(7):3424–3426CrossRefPubMedPubMedCentral

Dodson CC, Craig EV, Cordasco FA, Dines DM, Dines JS, Dicarlo E, Brause BD, Warren RF (2010) Propionibacterium acnes infection after shoulder arthroplasty: a diagnostic challenge. J Shoulder Elbow Surg 19(2):303–307. doi:10.1016/j.jse.2009.07.065 CrossRefPubMed

Matsen FA 3rd, Butler-Wu S, Carofino BC, Jette JL, Bertelsen A, Bumgarner R (2013) Origin of propionibacterium in surgical wounds and evidence-based approach for culturing propionibacterium from surgical sites. J Bone Joint Surg Am 95(23):e1811–1817CrossRefPubMed

Millett PJ, Yen YM, Price CS, Horan MP, van der Meijden OA, Elser F (2011) Propionibacterium acnes infection as an occult cause of postoperative shoulder pain: a case series. Clin Orhtop Relat Res 469(10):2824–2830CrossRef

Murray MR, Saltzman MD, Gryzlo SM, Terry MA, Woodward CC, Nuber GW (2011) Efficacy of preoperative home use of 2 % chlorhexidine gluconate cloth before shoulder surgery. J Shoulder Elbow Surg 20(6):928–933CrossRefPubMed

Norton TD, Skeete F, Dubrovskaya Y, Phillips MS, Bosco JD 3rd, Mehta SA (2014) Orthopedic surgical site infections: analysis of causative bacteria and implications for antibiotic stewardship. Am J Orhtop 43(5):E89–92

10.

Patel A, Calfee RP, Plante M, Fischer SA, Green A (2009) Propionibacterium acnes colonization of the human shoulder. J Shoulder Elbow Surg 18(6):897–902CrossRefPubMed

11.

Pottinger P, Butler-Wu S, Neradilek MB, Merritt A, Bertelsen A, Jette JL, Warme WJ, Matsen FA 3rd (2012) Prognostic factors for bacterial cultures positive for Propionibacterium acnes and other organisms in a large series of revision shoulder arthroplasties performed for stiffness, pain, or loosening. J Bone Joint Surg Am 94(22):2075–2083CrossRefPubMed

12.

Provencher MT, Bhatia S, Ghodadra NS, Grumet RC, Bach BR Jr, Dewing CB, LeClere L, Romeo AA (2010) Recurrent shoulder instability: current concepts for evaluation and management of glenoid bone loss. J Bone Joint Surg Am 92(Suppl 2):133–151CrossRefPubMed

13.

Randelli P, Castagna A, Cabitza F, Cabitza P, Arrigoni P, Denti M (2010) Infectious and thromboembolic complications of arthroscopic shoulder surgery. J Shoulder Elbow Surg 19(1):97–101CrossRefPubMed

14.

Saltzman MD, Nuber GW, Gryzlo SM, Marecek GS, Koh JL (2009) Efficacy of surgical preparation solutions in shoulder surgery. J Bone Joint Surg Am 91(8):1949–1953CrossRefPubMed

15.

Schmid SL, Farshad M, Catanzaro S, Gerber C (2012) The Latarjet procedure for the treatment of recurrence of anterior instability of the shoulder after operative repair: a retrospective case series of forty-nine consecutive patients. J Bone Joint Surg Am 94(11):e75CrossRefPubMed

16.

Shah AA, Butler RB, Romanowski J, Goel D, Karadagli D, Warner JJ (2012) Short-term complications of the Latarjet procedure. J Bone Joint Surg Am 94(6):495–501CrossRefPubMed

Title: Acute infection with Propionibacterium acnes after a Latarjet coracoid transfer procedure: a case report
Authors: Brandon J. Erickson
Sanjeev Bhatia
Debdut Biswas
Nikhil N. Verma
Publication date: 01-06-2016
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 6/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-3284-y

At a glance: The STEP trials

Springer Medicine

Acute infection with Propionibacterium acnes after a Latarjet coracoid transfer procedure: a case report

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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