A 53-year-old man with a history of schizophrenia was brought to the Emergency Department (ED) by police and paramedics for medical clearance after his landlord called 911 out of concern for the patient's health. The patient had no complaints on arrival in the ED. The patient denied any recent problems and stated he regularly saw his psychiatrist for his schizophrenia. The patient's vital signs were normal with the exception of a temperature of 38°C (100.4°F). Physical examination was notable for a 4-cm metallic foreign body exposed and protruding from the anterior aspect of his right shoulder through a prior surgical incision site (Figure 1, Figure 2). Around the wound site, there was granulation tissue with purulent drainage. Upon further questioning, the patient reported that he had undergone a total right shoulder arthoplasty 3 or 4 years prior, and stated that his shoulder had been in this position since the surgery. He denied any recent fevers, pain, or difficulty with moving his right shoulder or arm.
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- Complications of shoulder arthroplasty.Clin Orthop Relat Res. 1994; : 47-69
- Infection following shoulder and elbow arthroplasty.Orthopade. 1995; 24: 367-375
- The management of infection in arthroplasty of the shoulder.J Bone Joint Surg Br. 2004; 86: 65-69
Published online: September 01, 2008
Accepted: January 7, 2008
Received in revised form: January 2, 2008
Received: November 9, 2007
© 2010 Elsevier Inc. Published by Elsevier Inc. All rights reserved.