A Posterolateral Approach to the Scapula for Evacuation of a Subscapular Abscess

Christman-Skieller, Claudia; McIntyre, Lisa; Plevin, Rebecca; Friedrich, Jeffrey B.; Smith, Douglas G.

doi:10.2106/jbjs.cc.16.00241

Cited by 9 publications

(18 citation statements)

References 8 publications

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“…Literatürde en sık metisiline duyarlı S. aureus (MSSA) etken olarak bildirilmiştir [1,[3][4][5][6] . Bazı olgularda ise MRSA izole edilmiştir [4,7,8] . Hastamızın burun, kan ve apse drenaj kültürlerinde literatür ile uyumlu olarak MRSA izole edildi.…”

Section: Discussionunclassified

Nedeni Bilinmeyen Ateş Nedeni: Supskapular Apse

Yapar¹,

Akdoğan²,

Baykam³

2020

FLORA

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A Cause of Unknown Fever: Subscapular Abscess Subscapular abscess is a rare but serious clinical condition due to the small number of cases in the literature requiring early diagnosis and urgent surgical intervention. We aimed to present a case of spontaneous subscapular abscess causing methicillin-resistant Staphylococcus aureus septicemia, which was diagnosed and treated early, without trauma or surgical intervention.

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Section: Discussionunclassified

Nedeni Bilinmeyen Ateş Nedeni: Supskapular Apse

Yapar¹,

Akdoğan²,

Baykam³

2020

FLORA

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“…The scapular region is not a common location for abscess formation. Thus far, there are only 11 cases of scapular abscess reported 1-5 in the literatures and mainly located around the subscapular region. Our case demonstrates a more extensive abscess involving the entire periscapular region and extending to the thoracic space.…”

Section: Discussionmentioning

confidence: 99%

“…We postulate that local pressure with massage had breached the anatomical barrier leading to extension of the abscess to a nearby compartment. Systemic infection, immune-compromised diabetes and trauma had been reported to cause scapular abscess 1-5 . Minor trauma in our case might cause hematoma formation in scapular region leading to formation of scapular abscess.…”

Section: Discussionmentioning

confidence: 99%

“…Planning for surgical approach in this complex anatomical area is important to minimise the surgical damage and evacuate the loculated abscess completely. To our knowledge, only four case reports of subscapular abscess describe the surgical approach to drain subscapular abscess: vertical incision along medial border of scapula 2 , anterior deltopectoral approach 3 , modified Judet approach 4 , and posterolateral approach to scapula with medial counter incision 5 . The single posterolateral incision was used in our case because the approach was easy and we were able to drain out the extensive periscapular abscess.…”

Section: Discussionmentioning

confidence: 99%

“…Scapular abscess is an uncommon clinical diagnosis. A literature search yielded only 11 cases being reported so far 1-5 ; and mostly of subscapular abscess. Early diagnosis, urgent surgical intervention and antibiotic treatment are warranted for scapular abscess.…”

Section: Introductionmentioning

confidence: 99%

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A Single Posterolateral Scapular Approach to Drain Post-Traumatic Intramuscular Scapular and Axillary Abscess in an Adolescent: A Case Report

Khaw

Ismail

2019

Malays Orthop J

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Scapular abscess is a rare clinical diagnosis. This is a report of an atypical case of extensive intramuscular scapular abscess involving the anterior and posterior aspects of the scapula with extension into the axillary region following minor trauma in a young healthy adolescent, describing a single posterolateral approach to the scapula to evacuate the abscess. Following surgical drainage and antibiotic treatment, patient recovered without any complication.

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Literature review and a case report of spontaneous subscapular abscess in a child

Mourkus

Vadivelu

Phillips

2018

Eur J Orthop Surg Traumatol

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Subscapular space is an uncommon site for abscess formation. There are only seven reports of subscapular abscesses in the literature. Only three of these cases are reported in children. We recently treated a child with subscapular abscess. We performed the literature search using a combination of the keywords: subscapular, scapular, abscess and infection. One case was diagnosed on post-mortem autopsy, and only three of these cases are reported in children. The organism was Staphylococcus aureus in five cases (two were methicillin-resistant S. aureus), Haemophilus influenzae in one case, and no organism was grown in the last case. (Patient received a course of empirical antibiotics and samples did not grow any organism.) We describe a case of spontaneous subscapular abscess in a 7-year-old boy. The abscess was visualised on magnetic resonance imaging (MRI), and the organism was identified as S. aureus bacteria. The abscess was treated surgically with debridement and antibiotics, and the patient had full recovery with no subsequent effects. Subscapular abscess needs high index of suspicion and early imaging investigation. MRI is the modality of choice for accurate diagnosis. Early intervention leads to favourable outcome, while delays in diagnosis can be fatal.

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A Posterolateral Approach to the Scapula for Evacuation of a Subscapular Abscess

Cited by 9 publications

References 8 publications

Nedeni Bilinmeyen Ateş Nedeni: Supskapular Apse

Nedeni Bilinmeyen Ateş Nedeni: Supskapular Apse

A Single Posterolateral Scapular Approach to Drain Post-Traumatic Intramuscular Scapular and Axillary Abscess in an Adolescent: A Case Report

Literature review and a case report of spontaneous subscapular abscess in a child

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