A rare case of isolated post-traumatic subscapularis abscess in a paediatric patient

Faris Indra Prahasta Bin Didi Indra; Syed Ibrahim bin Wan Mohamad Akbar; Mohd Anuar Ramdhan Bin Ibrahim; Ong Lik Han

doi:10.15562/bmj.v11i3.3639

A rare case of isolated post-traumatic subscapularis abscess in a paediatric patient

Faris Indra Prahasta Bin Didi Indra ,

Syed Ibrahim bin Wan Mohamad Akbar ,

Mohd Anuar Ramdhan Bin Ibrahim ,

Ong Lik Han ,

pdf |
DOI: https://doi.org/10.15562/bmj.v11i3.3639 |
Published: 2022-11-01

Abstract

Introduction: Subscapular abscess is an extremely rare condition. To our knowledge there were nine reports on subscapular abscess in the literature, four of them happened paediatric patients. The signs and symptoms could be very subtle making the diagnosis is difficult and often delayed.

Case description: We share a rare case of isolated subscapularis abscess with no glenohumeral involvement of a healthy 9-year-old boy following blunt trauma to the shoulder treated with antibiotics and percutaneous drainage with good outcome.

Conclusion: Subscapular abscess should be suspected in a child present with fever and shoulder pain. Magnetic resonance imaging is the best modality for diagnosis as plain radiograph would not give any diagnostic help. Surgical drainage combined with antibiotics are the mainstay of treatment. However, percutaneous drainage is one of treatment options especially in paediatric patient as demonstrated in our report.

References

Handorf CR. Fatal subscapular staphylococcal abscess. South Med J. 1983;76(2):271. doi:10.1097/00007611-198302000-00039
Babayiğit A, Makay B, Demircioğlu F, Cakmakçi H, Unsal E. Subscapular abscess after blunt trauma. Pediatr Emerg Care. 2009;25(6):399-400. doi:10.1097/PEC.0b013e3181a7927d
Fernández Pérez M, Orradre Burusco I, Mondragón Rubio J, Azcona Martínez de Baroja L, Romero Redondo I, Cornejo Jiménez D. Spontaneus subscapular abscess. A clinical case. An Sist Sanit Navar. 2020;43(1):99-102. doi:10.23938/ASSN.0857
Mourkus H, Vadivelu R, Phillips J. Literature review and a case report of spontaneous subscapular abscess in a child. Eur J Orthop Surg Traumatol. 2018;28(6):1235-1240. doi:10.1007/s00590-018-2156-4
Patel K, Spowart E, Sochorova D, Diego N, Mamarelis G, Sohail MZ. Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical Presentation. Case Rep Orthop. 2018; 2018:8256428. doi:10.1155/2018/8256428
Yilmaz G, Standard SC. Periscapular abscess: unusual cause of shoulder pain in children. J Pediatr Orthop B. 2012;21(4):310-312. doi:10.1097/BPB.0b013e328349139a
Furuhata R, Inoue D, Kiyota Y, Morioka H, Arino H. Dorsal subscapularis approach for the surgical drainage of subscapularis intramuscular abscess: a case report. BMC Musculoskelet Disord. 2019;20(1):445. doi:10.1186/s12891-019-2852-1
Christman-Skieller C, McIntyre LK, Plevin R, Friedrich JB, Smith DG. A Posterolateral Approach to the Scapula for Evacuation of a Subscapular Abscess: A Case Report. JBJS Case Connect. 2017;7(3): e57. doi:10.2106/JBJS.CC.16.00241
Giugale JM, Bosch PP, Grudziak JS. Subscapular Abscess in a Nine-Year-Old Female Patient: A Case Report. JBJS Case Connect. 2015;5(1): e13. doi:10.2106/JBJS.CC. N.00102

[1] Handorf CR. Fatal subscapular staphylococcal abscess. South Med J. 1983;76(2):271. doi:10.1097/00007611-198302000-00039

[2] Babayiğit A, Makay B, Demircioğlu F, Cakmakçi H, Unsal E. Subscapular abscess after blunt trauma. Pediatr Emerg Care. 2009;25(6):399-400. doi:10.1097/PEC.0b013e3181a7927d

[3] Fernández Pérez M, Orradre Burusco I, Mondragón Rubio J, Azcona Martínez de Baroja L, Romero Redondo I, Cornejo Jiménez D. Spontaneus subscapular abscess. A clinical case. An Sist Sanit Navar. 2020;43(1):99-102. doi:10.23938/ASSN.0857

[4] Mourkus H, Vadivelu R, Phillips J. Literature review and a case report of spontaneous subscapular abscess in a child. Eur J Orthop Surg Traumatol. 2018;28(6):1235-1240. doi:10.1007/s00590-018-2156-4

[5] Patel K, Spowart E, Sochorova D, Diego N, Mamarelis G, Sohail MZ. Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical Presentation. Case Rep Orthop. 2018; 2018:8256428. doi:10.1155/2018/8256428

[6] Yilmaz G, Standard SC. Periscapular abscess: unusual cause of shoulder pain in children. J Pediatr Orthop B. 2012;21(4):310-312. doi:10.1097/BPB.0b013e328349139a

[7] Furuhata R, Inoue D, Kiyota Y, Morioka H, Arino H. Dorsal subscapularis approach for the surgical drainage of subscapularis intramuscular abscess: a case report. BMC Musculoskelet Disord. 2019;20(1):445. doi:10.1186/s12891-019-2852-1

[8] Christman-Skieller C, McIntyre LK, Plevin R, Friedrich JB, Smith DG. A Posterolateral Approach to the Scapula for Evacuation of a Subscapular Abscess: A Case Report. JBJS Case Connect. 2017;7(3): e57. doi:10.2106/JBJS.CC.16.00241

[9] Giugale JM, Bosch PP, Grudziak JS. Subscapular Abscess in a Nine-Year-Old Female Patient: A Case Report. JBJS Case Connect. 2015;5(1): e13. doi:10.2106/JBJS.CC. N.00102

A rare case of isolated post-traumatic subscapularis abscess in a paediatric patient

Abstract

References

How to Cite

Search Panel