J. Hsu, Roger E Bumgarner, Frederick Albert Matsen IV
{"title":"Current concepts review","authors":"J. Hsu, Roger E Bumgarner, Frederick Albert Matsen IV","doi":"10.2106/JBJS.15.00568","DOIUrl":"https://doi.org/10.2106/JBJS.15.00568","url":null,"abstract":"➤ Propionibacterium is a slow-growing gram-positive rod that is part of the normal skin microbiome but can be found on culture of specimens from a large number of patients having revision shoulder arthroplasty performed for pain, stiffness, and component loosening. ➤ Propionibacterium infections do not present with obvious signs of infection, such as swelling, erythema, drainage, or tenderness, but rather are of the so-called stealth type, presenting with unexplained pain, stiffness, or component loosening months to years after the index arthroplasty. ➤ Not all propionibacteria are the same: certain subtypes of Propionibacterium are enriched with virulence factors that may enhance deep infection. ➤ Because propionibacteria typically reside in the pilosebaceous glands of the oily skin of the chest and back, standard surgical skin preparation solutions and even perioperative intravenous antibiotics are often inadequate at sterilizing the incision site; therefore, other prophylactic measures such as meticulous implant handling to avoid contact with dermal structures need to be considered. ➤ Recovery of Propionibacterium from the surgical wounds requires that multiple specimens for culture be taken from different areas of the shoulder to reduce sampling error, and cultures should be held for two weeks on multiple culture media. ➤ Future research efforts can be focused on reducing the risk of implant infection and point-of-care methods for identifying Propionibacterium infections.","PeriodicalId":434846,"journal":{"name":"Journal of Bone and Joint Surgery - Series A","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124891981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Subspecialty certification: Current status of orthopaedic subspecialty certification","authors":"K. Bridwell, C. Harner, D. Polly, P. Stern","doi":"10.2106/00004623-200609000-00024","DOIUrl":"https://doi.org/10.2106/00004623-200609000-00024","url":null,"abstract":"","PeriodicalId":434846,"journal":{"name":"Journal of Bone and Joint Surgery - Series A","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123612663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Pellegrini, T. Peabody, D. Dinges, Jennifer Moody, P. Fabri
{"title":"Resident work-hour guidelines: A sentence or an opportunity for orthopaedic education?","authors":"V. Pellegrini, T. Peabody, D. Dinges, Jennifer Moody, P. Fabri","doi":"10.2106/00004623-200511000-00027","DOIUrl":"https://doi.org/10.2106/00004623-200511000-00027","url":null,"abstract":"","PeriodicalId":434846,"journal":{"name":"Journal of Bone and Joint Surgery - Series A","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131447343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Saleh, E. Arendt, J. Eldridge, J. Fulkerson, T. Minas, K. Mulhall
{"title":"Operative treatment of patellofemoral arthritis","authors":"K. Saleh, E. Arendt, J. Eldridge, J. Fulkerson, T. Minas, K. Mulhall","doi":"10.2106/00004623-200503000-00028","DOIUrl":"https://doi.org/10.2106/00004623-200503000-00028","url":null,"abstract":"","PeriodicalId":434846,"journal":{"name":"Journal of Bone and Joint Surgery - Series A","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122380950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Subspecialization in orthopaedics: Is there really too much? [3] (multiple letters)","authors":"A. Starr, A. Sarmiento","doi":"10.2106/00004623-200309000-00038","DOIUrl":"https://doi.org/10.2106/00004623-200309000-00038","url":null,"abstract":"","PeriodicalId":434846,"journal":{"name":"Journal of Bone and Joint Surgery - Series A","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132777283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Chell, P. Livesley, J. Cullen, M. Parentis, V. Chinchilli, Jr Pellegrini, M. Hershey
{"title":"Letter to the editor [1] (multiple letters)","authors":"J. Chell, P. Livesley, J. Cullen, M. Parentis, V. Chinchilli, Jr Pellegrini, M. Hershey","doi":"10.2106/00004623-199906000-00016","DOIUrl":"https://doi.org/10.2106/00004623-199906000-00016","url":null,"abstract":"","PeriodicalId":434846,"journal":{"name":"Journal of Bone and Joint Surgery - Series A","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129269656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Yamaguchi, R. Buchbinder, S. Green, A. Forbes, S. Hall, G. Lawler
{"title":"Arthrographic distension with saline and steroid reduced pain and disability and improved range of motion in the short term in patients with painful stiff shoulder","authors":"K. Yamaguchi, R. Buchbinder, S. Green, A. Forbes, S. Hall, G. Lawler","doi":"10.2106/00004623-200408000-00055","DOIUrl":"https://doi.org/10.2106/00004623-200408000-00055","url":null,"abstract":"Patients: 46 patients who were ≥18 years of age (mean age 57 y, 80% women), had pain and stiffness in predominantly 1 shoulder for ≥3 months (range, 96 to 402 d), and had restriction of passive motion of >30° in ≥2 planes of movement. Exclusion criteria included severe pain (>7 of 10 on visual analog scale) at rest, previous arthrographic distension, systemic inflammatory joint disease, osteoarthritis of the shoulder, calcification about the shoulder joint, and clinical suspicion of a complete rotator cuff tear. Follow-up was complete.","PeriodicalId":434846,"journal":{"name":"Journal of Bone and Joint Surgery - Series A","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114681349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Schmitz, J. Brown, J. Stoner, J. Vollers, C. Price, J. Ribeiro, T. Kinnebrew
{"title":"Letter to the editor [2] (multiple letters)","authors":"M. Schmitz, J. Brown, J. Stoner, J. Vollers, C. Price, J. Ribeiro, T. Kinnebrew","doi":"10.2106/00004623-199708000-00023","DOIUrl":"https://doi.org/10.2106/00004623-199708000-00023","url":null,"abstract":"","PeriodicalId":434846,"journal":{"name":"Journal of Bone and Joint Surgery - Series A","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129310453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Specialty update: What's new in orthopaedic research","authors":"L. Sandell, Matthew J. Silva","doi":"10.2106/00004623-200107000-00031","DOIUrl":"https://doi.org/10.2106/00004623-200107000-00031","url":null,"abstract":"","PeriodicalId":434846,"journal":{"name":"Journal of Bone and Joint Surgery - Series A","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133327774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}