Sports 2022 Part 2 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Question 1)A 80-year-old male with a past medical history of high cholesterol, prostate cancer, and hypertension presents with end stage osteoarthritis of the right shoulder. He has a massive irreparable rotator cuff tear on MRI with severe atrophy of the muscles. He received an intra-articular corticosteroid injection into the shoulder 6 months ago with minimal relief. The patient is scheduled for a reverse shoulder replacement in the near future. Which risk factor places the patient at higher risk for post-operative periprosthetic infection?Select the Correct AnswerHypertensionCorticosteroid injection 1 year agoAge over 75Male sexCorrect Answer: Male Sex Explanation: Multiple recent studies have demonstrated male sex to be markedly associated with PJI after shoulder arthroplasty were male sex, operation history, revision arthroplasty, acute trauma, and non-osteoarthritis as a preoperative diagnosis. Men have been shown to have a 14-fold greater risk of colonization with C acnes than women. Corticosteroid injections within 3 months have been shown to increase the risk of periprosthetic joint infections. Younger age (<75) has been associated with an increased risk of shoulder periprosthetic joint infections. There has been no associated increased risk for periprosthetic infections with hypertension. References: Source Dr. Stephanie Muh Baksh N, Nadarajah V, Connors KM, Bains SS, Chen Z, Dubin JA, Naziri Q. Does preoperative corticosteroid injection increase the risk of periprosthetic joint infection after reverse shoulder arthroplasty? J Shoulder Elbow Surg. 2023 Jul;32(7):1459-1464. doi: 10.1016/j.jse.2023.01.008. Epub 2023 Feb 1. PMID: 36737032. Seok HG, Park JJ, Park SG. Risk Factors for Periprosthetic Joint Infection after Shoulder Arthroplasty: Systematic Review and Meta-Analysis. J Clin Med. 2022 Jul 21;11(14):4245. doi: 10.3390/jcm11144245. PMID: 35888008; PMCID: PMC9316575. Stadecker M, Gu A, Ramamurti P, Fassihi SC, Wei C, Agarwal AR, Bovonratwet P, Srikumaran U. Risk of revision based on timing of corticosteroid injection prior to shoulder arthroplasty. Bone Joint J. 2022 May;104-B(5):620-626. doi: 10.1302/0301-620X.104B5.BJJ-2021-0024.R3. PMID: 35491573. Kunutsor SK, Barrett MC, Whitehouse MR, Craig RS, Lenguerrand E, Beswick AD, Blom AW. Incidence, temporal trends and potential risk factors for prosthetic joint infection after primary total shoulder and elbow replacement: Systematic review and meta-analysis. J Infect. 2020 Apr;80(4):426-436. doi: 10.1016/j.jinf.2020.01.008. Epub 2020 Jan 22. PMID: 31981635. Wrong Answer: Please try again! Submit Post navigation Previous QuestionPediatrics 2023 Part 1