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肩关节置换术感染的诊断:即将出现的新检测方法

Diagnosis of Shoulder Arthroplasty Infection: New Tests on the Horizon.

作者信息

Wahl Elizabeth P, Garrigues Grant E

出版信息

Orthopedics. 2020 Mar 1;43(2):76-82. doi: 10.3928/01477447-20191212-01. Epub 2019 Dec 16.

Abstract

Periprosthetic shoulder infection (PSI), although less common than prosthetic hip and knee infections, continues to be a devastating complication of shoulder arthroplasty. Unlike its counterparts in the hip and knee, infection with nonsuppurative bacteria is more common than infection with more virulent bacteria in periprosthetic shoulder infection. The diagnosis of PSI can be challenging because the traditional clinical and laboratory findings are not always present. The authors present a narrative review of the current methods used in the diagnosis of PSI, as well as recently developed tests that may hold promise for the diagnosis of PSI. [Orthopedics. 2020; 43(2):76-82.].

摘要

人工肩关节周围感染(PSI)虽然不如人工髋关节和膝关节感染常见,但仍然是肩关节置换术的一种毁灭性并发症。与髋关节和膝关节的感染不同,在人工肩关节周围感染中,非化脓性细菌感染比毒性更强的细菌感染更为常见。PSI的诊断具有挑战性,因为传统的临床和实验室检查结果并不总是存在。作者对目前用于诊断PSI的方法以及最近开发的可能对PSI诊断有前景的检测进行了叙述性综述。[《骨科》。2020年;43(2):76 - 82。]

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