Abstract
Cutibacterium acnes is a mysterious member of the shoulder microbiome. It has been multiply associated with chronic postoperative complications and low-grade infections in orthopedic surgery. Still, it is unclear whether it should be either linked to skin contamination or to true deep infections. Some authors hypothesized C. acnes to be a commensal of deep, intraarticular tissues and linked it to osteoarthritis. Further, C. acnes is reported to persist in macrophages as a niche for its survival and spread.
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