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International Orthopaedics

Published in:

01-01-2016 | Original Paper

Detritic synovitis can mimic a Propionibacterium periprosthetic infection

Authors: Jacob D. Gorbaty, Robert M. Lucas, Frederick A. Matsen III

Published in: International Orthopaedics | Issue 1/2016

Abstract

Purpose

The purpose of this article is to illustrate that the clinical findings of detritic synovitis complicating a total shoulder arthroplasty can strongly resemble those of a ‘stealth’ periprosthetic shoulder infection with a low-virulence organism such as Propionibacterium.

Methods

We present a review of the literature and illustrate an example of detritic synovitis following a total shoulder arthroplasty.

Results

The combination of glenoid component loosening and humeral osteolysis after total shoulder arthroplasty are commonly attributed to periprosthetic infection with low virulence organisms, such as Propionibacterium or coagulase negative Staphylococcus. Such a periprosthetic infection can appear long after the index joint replacement. This article points out that these same findings may occur with a non-infectious process initiated by polyethylene, cement or metal debris—detritic synovitis.

Conclusions

At present, the important differentiation between these two etiologies can only be ascertained by awaiting the results of cultures obtained at the time of revision surgery.

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Title: Detritic synovitis can mimic a Propionibacterium periprosthetic infection
Authors: Jacob D. Gorbaty
Robert M. Lucas
Frederick A. Matsen III
Publication date: 01-01-2016
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 1/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-3032-z

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Detritic synovitis can mimic a Propionibacterium periprosthetic infection

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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