Table 1. Previous Surgical History for the Population That Underwent Shoulder Arthroplasty for Infection.
Patient | Sex | Age (yr) | Surgery before infection | Surgery for infection | Culture | Clinical detail |
---|---|---|---|---|---|---|
1 | Male | 61.93 | 2 | 4 | Staphylococcus epidermidis | Two failed open cuff repairs with infection treated with Keflex before presentation; four I&Ds |
2 | Female | 74.91 | 0 | 2 | MSSA | Multifocal septic native arthritis, one shoulder I&D |
3 | Male | 52.68 | 1 | 3 | Staphylococcus epidermidis | One open rotator cuff repair, developed sinus tract 5 years later, two I&Ds before presentation |
4 | Female | 64.78 | 5 | 1 | CNS, Propionibacterium acnes | Five attempted cuff repairs with symptom recurrence before presentation (three scope, two open); one I&D |
5 | Male | 76.85 | 3 | 1 | Unknown (OSH) | Rotator cuff surgery three times before presentation; one I&D |
6 | Male | 52.06 | 1 | 2 | CNS, Propionibacterium acnes | Failed open cuff repair before presentation; two I&Ds |
7 | Female | 70.83 | 5 | 2 | CNS | Distal clavicle excision with frozen shoulder, four MUA and pain pump placed, infected and washed out before presentation |
8 | Female | 79.88 | 1 | 2 | Staphylococcus lugdunensis, Escherichia coli | One scope cuff repair, infected and open I&D before presentation |
9 | Male | 57.78 | 0 | 4 | MRSA | Two injections, septic arthritis with septic emboli to brain and endocarditis, three I&Ds before presentation |
10 | Female | 69.25 | 1 | 4 | CNS, Propionibacterium acnes | One cuff repair and capsular release, two I&Ds for infection before presentation; one antibiotic spacer before 2-stage |
11 | Male | 47.75 | 2 | 1 | Staphylococcus epidermidis | Two scope labral repairs before presentation; rapidly progressive glenohumeral arthrosis |
12 | Male | 80.98 | 0 | 4 | MRSA, Pseudomonas aeruginosa | Nonoperative proximal humerus malunion, three injections; went for delayed RSA, but I&D instead |
13 | Female | 77.19 | 0 | 2 | MSSA | One injection for cuff tear arthropathy and plan for RSA, clinically infected intraoperatively, spacer placed |
14 | Female | 65.13 | 2 | 1 | CNS | Failed proximal humerus plate and revised to intramedullary nail, failed before presentation |
15 | Male | 81.29 | 0 | 1 | Escherichia coli | One injection, worsened and had scope I&D before presentation |
16 | Male | 52.52 | 2 | 2 | Unknown (OSH) | Two failed rotator cuff repairs, purulent drainage with I&D before presentation |
17 | Male | 46.19 | 1 | 2 | Enterobacter agglomerans | Failed proximal humerus plate with collapse and septic arthritis |
I&D: irrigation and debridement, MSSA: methicillin-sensitive Staphylococcus aureus, CNS: coagulase-negative Staphylococcus aureus, OSH: outside hospital, MUA: manipulation under anesthesia, MRSA: methicillin-resistant Staphylococcus aureus, RSA: reverse shoulder arthroplasty.