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General Orthopaedics

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Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_22 | Pages 95 - 95
1 Dec 2017
Falstie-Jensen T Daugaard H Lange J Ovesen J Søballe K
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Background

Periprostetic joint infections (PJI) are often difficult to diagnose, to treat and often leave the patient with severe impaired function. The presence of low virulent bacteria is frequently discovered in apparent aseptic revisions of shoulder arthroplasties and pose a challenge to diagnose preoperatively.

Dual Isotope In111 Leucocyte/ Tc99 Bone Marrow SPECT CT scan (L/BMS) is considered the radionuclide gold standard in preoperative diagnosing PJI with reported high specificity and sensitivity in hip and knee arthroplasties.

Unfortunately, it is labour-intensive and expensive to perform and documentation using L/BMS on shoulder arthroplasties lack.

Aim

To investigate if L/BMS succeeds in detecting shoulder PJI compared to tissue cultures obtained perioperatively.