Serum and Synovial Markers in the Diagnosis of Periprosthetic Joint Infection of the Hip, Knee, and Shoulder: An Algorithmic Approach.

Autor:	Tarabichi S; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Goh GS; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Fraval A; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Lizcano JD; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Abe EA; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Courtney PM; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Namdari S; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Parvizi J; International Joint Center, Acibadem University Hospital, Istanbul, Turkey.
Jazyk:	angličtina
Zdroj:	The Journal of bone and joint surgery. American volume [J Bone Joint Surg Am] 2024 Jul 03; Vol. 106 (13), pp. 1221-1230. Date of Electronic Publication: 2024 May 22.
DOI:	10.2106/JBJS.23.00669
Abstrakt:	➤ No single test has demonstrated absolute accuracy for the diagnosis of periprosthetic joint infection (PJI).➤ Physicians rely on a combination of serological tests, synovial markers, and clinical findings plus clinical judgment to help to guide preoperative decision-making.➤ Several organizations have proposed criteria for the diagnosis of hip or knee PJI on which we now rely.➤ Given that shoulder arthroplasty has only recently become popular, it is possible that a shoulder-specific definition of PJI will be introduced in the coming years.➤ Although a number of serum and synovial markers have demonstrated high accuracy for the diagnosis of PJI of the hip and knee, further research is needed in order to identify markers that may be more suitable for the diagnosis of shoulder PJI and for the potential development and identification of specific serological tests as screening tools for PJI. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article ( http://links.lww.com/JBJS/I24 ). (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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