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World J Orthop. Aug 18, 2017; 8(8): 612-618
Published online Aug 18, 2017. doi: 10.5312/wjo.v8.i8.612
Postoperative deep shoulder infections following rotator cuff repair
Kivanc Atesok, Peter MacDonald, Jeff Leiter, Sheila McRae, Greg Stranges, Jason Old
Kivanc Atesok, Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL 35294, United States
Peter MacDonald, Jeff Leiter, Sheila McRae, Greg Stranges, Jason Old, Sports Medicine and Upper Extremity Reconstruction Fellowship Program, Pan Am Clinic, Department of Surgery, Section of Orthopaedic Surgery, University of Manitoba, Winnipeg, MB R3M 3E4, Canada
Author contributions: All the authors contributed to this manuscript.
Conflict-of-interest statement: The authors have no conflict of interest related to this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Kivanc Atesok, MD, MSc, Department of Orthopaedic Surgery, University of Alabama at Birmingham, 510 20th Street South, FOT960, Birmingham, AL 35294, United States. kivanc.atesok@utoronto.ca
Telephone: +1-204-9257480 Fax: +1-204-4539032
Received: December 28, 2016
Peer-review started: December 31, 2016
First decision: February 20, 2017
Revised: March 6, 2017
Accepted: May 3, 2017
Article in press: May 5, 2017
Published online: August 18, 2017
Core Tip

Core tip: Rotator cuff repair (RCR) has become one of the most frequently performed orthopaedic procedures during the last two decades. Paralleling the exponential increase in the number of RCRs, uncommon complications such as postoperative deep shoulder infections may be seen more frequently. Patients who are suspected to have a post-RCR infection require a thorough diagnostic evaluation, including clinical signs and symptoms, laboratory workups and cultures. Although appropriate management of this condition with surgical debridement and lavage, and long-term IV antibiotics usually results in eradication of the infection, complications can be disabling and functional outcomes poor. The majority of the patients with deep infections after RCR report unsatisfactory outcomes with permanent functional limitations.