Subscapular Abscess in a Nine-Year-Old Female Patient: A Case Report.

JBJS Case Connect

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Kaufmann Medical Building, Suite 911, 3471 Fifth Avenue, Pittsburgh, PA 15213.

Published: January 2015

Case: The subscapular space is a clinically concealed anatomic space where soft-tissue abscesses can form. To our knowledge, five cases of a subscapular abscess have been reported in the past thirty-four years, so there is little evidence available to guide treatment. We present a unique case of a spontaneous, subscapular abscess due to methicillin-resistant Staphylococcus aureus in a pediatric host, and we describe a surgical approach for adequate debridement.

Conclusion: The effective treatment of a subscapular abscess depends on an accurate, rapid diagnosis and effective surgical debridement. A modified Judet approach provides adequate access to the subscapular space for debridement.

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Source
http://dx.doi.org/10.2106/JBJS.CC.N.00102DOI Listing

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