Patients and physicians are often tempted by the idea of injecting the shoulder with steroids to relieve pain. Although intra-articular injections of steroids like cortisone may provide some temporary relief, there is always the possibility of infection.
Is Propionibacterium injected into the shoulder?
Is it possible to inject corticosteroids into the shoulder arthroplasty?
Is it safe to inject the shoulder before shoulder replacement or arthroscopy?
Injection can increase infection risk in rotator Cuff repairs
Rotator cuff repairs – Does injection increase the chance of infection?
The authors of the study, Does Pre-Operative Corticosteroid Administration Increase the Risk of Periprosthetic Joint Injury After Reverse Shoulder Arthroplasty (Does it increase the risk) The association between the timing and incidence of periprosthetic infections (PJI) after a reverse total shoulder arthroplasty was studied using a national all-payer database.
Patients who received CSI in the month preceding RSA had a significantly higher chance of developing PJI within 90 days and one year. The authors stated that there was no evidence to suggest that PJI is a risk in patients who received CSI within one month of surgery.