What intraoperative findings are concerning for shoulder periprosthetic joint infection (PJI)?

Authors: Jay Keener, Ofer Levy, Adrien Jacquot
RECOMMENDATION: The presence of humeral stem loosening and cloudy synovial fl uid should raise suspicion for shoulder PJI. Gross intra-articular pus (without a mechanical or rheumatologic explanation) or the presence of a sinus tract, communicating with the implant, are pathognomonic for periprosthetic shoulder infection.
LEVEL OF EVIDENCE: Consensus
DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

s26