ArticleShoulder & elbow2019
Capsular needle biopsy as a pre-operative diagnostic test for peri-prosthetic shoulder infection.
Article in Shoulder & elbow, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 10 citations in OpenAlex.
- Accuracy of clinical symptoms and nuclear imaging in the diagnosis of infection in revision shoulder arthroplasty.JSES international · 2025Article
- Prosthetic joint infections of the shoulder: A review of the recent literature.Journal of orthopaedics · 2023Article
- Radiological changes, infections and neurological complications after reverse shoulder arthroplasty related to different design types and their rates: Part II.EFORT open reviews · 2021Review
- Periprosthetic Infection After Reverse Shoulder Arthroplasty: a Review.Current reviews in musculoskeletal medicine · 2020Review
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEstablishing the diagnosis of peri-prosthetic shoulder infection prior to revision shoulder arthroplasty can be difficult. The objectives of the present study were (i) to describe the technique of fluoroscopic capsular needle biopsy for the diagnosis of peri-prosthetic shoulder infection and (ii) to determine the feasibility and preliminary accuracy of the test in a pilot sample of patients undergoing revision shoulder arthroplasty.
methodsEighteen patients, comprising eight females and nine males with a mean age of 61 years (range 37 years to 81 years) underwent capsular needle biopsy during the work-up of suspected chronic arthroplasty-related glenohumeral infection. Intra-operative tissue samples were taken from a minimum of three regions of the joint capsule during revision surgery. Standard serum indices were obtained.
resultsOf 17 patients with possible infection, five had confirmed culture positive infections based on intra-operative biopsies. Of these five patients, four (80%) had positive cultures from fluoroscopic capsular needle biopsy, with matching cultures. There were no complications. No culture-positive patients had elevated serum indices for infection.
conclusionsThe technique for fluoroscopic capsular needle biopsy appears to be feasible and the preliminary results for this technique appear to be promising, with a sensitivity of 80% and a specificity of 100%.
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