Management of Chronic Deep Infection Following Rotator Cuff Repair* by Raffy Mirzayan, John M. Itamura, Thomas Vangsness, Paul D. Holtom, Randy Sherman,

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Presentation transcript:

Management of Chronic Deep Infection Following Rotator Cuff Repair* by Raffy Mirzayan, John M. Itamura, Thomas Vangsness, Paul D. Holtom, Randy Sherman, and Michael J. Patzakis J Bone Joint Surg Am Volume 82(8): August 1, 2000 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A through 1-F: A sixty-year-old woman in whom an infection developed following an open rotator cuff repair. Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of the right shoulder, showing a retained suture anchor. Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Proton-density magnetic resonance image (top) and T2-weighted magnetic resonance image (bottom) showing involvement of the humeral head and the glenoid. Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Photograph showing wound coverage with a rotational myocutaneous latissimus dorsi flap following another irrigation and débridement. Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior and axillary radiographs made at one year. Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior and axillary radiographs made at one year. Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A through 2-D: A sixty-year-old man in whom an infection developed following an open rotator cuff repair.Figs. 2-A and 2-B: Anteroposterior and axillary radiographs of the right shoulder, made at the time of presentation, demonstrating loss of joint... Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A and 2-B: Anteroposterior and axillary radiographs of the right shoulder, made at the time of presentation, demonstrating loss of joint space and erosive changes of the humeral head and the glenoid. Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Coronal and axial T1-weighted magnetic resonance images with contrast medium, demonstrating osteomyelitis of the humeral head and the glenoid as well as a synoviocutaneous fistula (arrow). Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Coronal and axial T1-weighted magnetic resonance images with contrast medium, demonstrating osteomyelitis of the humeral head and the glenoid as well as a synoviocutaneous fistula (arrow). Raffy Mirzayan et al. J Bone Joint Surg Am 2000;82:1115 ©2000 by The Journal of Bone and Joint Surgery, Inc.