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Subscapular Abscess in a Nine-Year-Old Female Patient: A Case Report
Juan M Giugale1, Patrick P Bosch, Jan S Grudziak
1Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Kaufmann Medical Building, Suite 911, 3471 Fifth Avenue, Pittsburgh, PA 15213.
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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