Better diagnostic value of tissue cultures obtained during mini-open and arthroscopic procedures compared with sterile punctures to identify periprosthetic shoulder infections: a retrospective cohort study

Diagnostic arthroscopy for periprosthetic shoulder arthroplasty infections: a systematic review and meta-analysis

“… 5 , 8 , 17 , 25 , 27 , 32 , 34 However, the literature seems to support that specimens obtained from arthroscopic tissue biopsy are significantly more accurate at diagnosing periprosthetic shoulder infection than glenohumeral aspiration. 6 , 21 , 31 …”

“…Although in this study, arthroscopic biopsy cultures showed moderate SN and SP of 60.0% and 85.7%, these values were similar or greater than those of sterile aspiration, with a low SN (20.0%) but high SP (90.6%). 31 …”

“…The variation in shoulder PJI definitions, biopsy techniques, tissue sample quantities, and even culture techniques can profoundly affect study results. 13 , 31 …”

“… □ □ Guild et al 14 (USA) □ □ □ □ ? □ □ Mederake et al 21 (Germany) □ □ □ □ □ □ □ Pruijn et al 31 (Netherlands) □ □ □ □ □ □ □ QUADAS-2 , quality assessment of diagnostic accuracy studies-2. □, low risk; ▪, high risk; ?, unclear risk.…”