{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:53:12Z","timestamp":1790614392762,"version":"4.1.0"},"reference-count":12,"publisher":"Copernicus GmbH","issue":"2","license":[{"start":{"date-parts":[[2017,1,19]],"date-time":"2017-01-19T00:00:00Z","timestamp":1484784000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Bone Joint Infect."],"abstract":"<jats:p>Abstract. Septic arthritis of the shoulder can destroy the glenohumeral joint resulting in significant pain, instability and poor function. Surgical treatment is notoriously difficult with significant risk of complications. Shoulder arthrodesis has been performed using both internal and external fixation but has high complication rates in the presence of infection.We present our experience of managing a patient with significant pain and loss of function as a result of septic arthritis of the shoulder following infected proximal humeral fracture fixation with associated proximal humeral osteomyelitis. We discuss patient presentation, appropriate investigations, decision-making, pre-operative planning and the principles of managing of bone and joint infection.Wide excision with Ilizarov stabilisation and implantation of an absorbable antibiotic carrier, allowed successful fusion with eradication of the infection. The benefits of using this arthrodesis technique include reduced risk of infection recurrence and excellent stability of construct, therefore reducing time to fusion and minimising soft tissue trauma with the opportunity for early rehabilitation and return to optimal level of function.<\/jats:p>","DOI":"10.7150\/jbji.17083","type":"journal-article","created":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T01:12:04Z","timestamp":1478740324000},"page":"90-95","source":"Crossref","is-referenced-by-count":8,"title":["Septic Arthritis of the Shoulder with Proximal Humerus Osteomyelitis, Treated by Ilizarov Shoulder Arthrodesis"],"prefix":"10.5194","volume":"2","author":[{"given":"John","family":"Kendall","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"McNally","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3145","published-online":{"date-parts":[[2017,1,19]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Wick M, M\u00fcller EJ, Ambacher T, Hebler U, Muhr G, Kutscha-Lissberg F. Arthrodesis of the shoulder after septic arthritis. Long-term results. J Bone Joint Surg Br. 2003;85(5):666\u201370.","DOI":"10.1302\/0301-620X.85B5.13915"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Zsoldos CM, Basamania CJ, Bal GK. Shoulder fusion after self-inflicted gunshot wound: an injury pattern and treatment option. Bone Joint J. 2013;95B(6):820\u20134.","DOI":"10.1302\/0301-620X.95B6.31447"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Boyd AD Jr, Thornhill TS. Surgical treatment of osteoarthritis of the shoulder. Rheum Dis Clin North Am. 1988;14(3):591\u2013611.","DOI":"10.1016\/S0889-857X(21)00868-1"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Clare DJ, Wirth MA, Groh GI, Rockwood CA Jr. Shoulder arthrodesis. J Bone Joint Surg Am. 2001;83A(4):593\u2013600.","DOI":"10.2106\/00004623-200104000-00018"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Chun JM, Byeon HK. Shoulder arthrodesis with a reconstruction plate. Int Orthop. 2009;33(4):1025\u201330. [PMC free article]","DOI":"10.1007\/s00264-008-0599-7"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Rolf O, Stehle J, Gohlke F. Treatment of septic arthritis of the shoulder and periprosthetic shoulder infections. Special problems in rheumatoid arthritis. Orthopade. 2007;36(8):700\u20137.","DOI":"10.1007\/s00132-007-1116-1"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Esenyel CZ, Ozt\u00fcrk K, Imren Y, Ayano\u011flu S. Shoulder arthrodesis with plate fixation. Acta Orthop Traumatol Turc. 2011;45(6):412\u201320.","DOI":"10.3944\/AOTT.2011.2487"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"R\u00fchmann O, Schmolke S, Bohnsack M, Flamme C, Wirth CJ. Shoulder arthrodesis: indications, technique, results, and complications. J Shoulder Elbow Surg. 2005;14(1):38\u201350.","DOI":"10.1016\/j.jse.2004.05.008"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Cofield RH, Briggs BT. Glenohumeral arthrodesis. Operative and long-term functional results. J Bone Joint Surg Am. 1979;61(5):668\u201377.","DOI":"10.2106\/00004623-197961050-00005"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Porcellini G, Savoie FH 3rd, Campi F, Merolla G, Paladini P. Arthroscopically assisted shoulder arthrodesis: is it an effective technique? Arthroscopy. 2014;30(12):1550\u20136.","DOI":"10.1016\/j.arthro.2014.06.026"},{"key":"ref11","unstructured":"Kr\u00e1l M, Piln\u00e1\u010dek J, Taller S, K\u0159ivohl\u00e1vek M, Luk\u00e1\u0161 R. Shoulder arthrodesis using an external fixator in the treatment of chronic inflammatory complications of proximal humeral fractures. Rozhl Chir. 2013;92(5):255\u20139."},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"McNally MA, Ferguson JY, Lau ACK, Diefenbeck M, Scarborough M, Ramsden AJ, Atkins BL. Single-stage treatment of chronic osteomyelitis with a new absorbable, gentamicin-loaded, calcium sulphate \/ hydroxyapatite biocomposite. A prospective series of 100 cases. Bone Joint J. 2016;98B(9):1289\u201396.","DOI":"10.1302\/0301-620X.98B9.38057"}],"container-title":["Journal of Bone and Joint Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jbji.copernicus.org\/articles\/2\/90\/2017\/jbji-2-90-2017.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T00:06:09Z","timestamp":1657670769000},"score":1,"resource":{"primary":{"URL":"https:\/\/jbji.copernicus.org\/articles\/2\/90\/2017\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,19]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.7150\/jbji.17083","relation":{},"ISSN":["2206-3552"],"issn-type":[{"value":"2206-3552","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,19]]}}}