Skip to main content

Advertisement

Log in

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

  • Up-to date Review and Case Report • SHOULDER - PAEDIATRICS
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Cleeman E, Auerbach JD, Springfield DS (2005) Tumors of the shoulder girdle: a review of 194 cases. J Shoulder Elbow Surg 14:460–465

    Article  PubMed  Google Scholar 

  2. Handorf CR (1983) Fatal subscapular staphylococcal abscess. South Med J 76:271

    Article  PubMed  CAS  Google Scholar 

  3. Nowinski RJ, Duchene C (2004) Spontaneous septic subscapular abscess. J Bone Joint Surg Am 86:1302–1304

    Article  PubMed  Google Scholar 

  4. Saxena P, Konstantinov IE, Zelei D, Newman MA (2008) Spontaneous subscapular abscess: a rare surgical condition. Heart Lung Circ 17:517–518

    Article  PubMed  Google Scholar 

  5. Christman-Skieller C, McIntyre LK, Plevin R et al (2017) A posterolateral approach to the scapula for evacuation of a subscapular abscess: a case report. JBJS Case Connect 7:e57

    Article  PubMed  Google Scholar 

  6. San Joaquin VH, Kimball JB (1980) Subscapular abscess due to Haemophilus influenzae type B. Pediatrics 65:331–332

    PubMed  CAS  Google Scholar 

  7. Babayigit A, Makay B, Demircioglu F et al (2009) Subscapular abscess after blunt trauma. Pediatr Emerg Care 25:399–400

    Article  PubMed  Google Scholar 

  8. Giugale JM, Bosch PP, Grudziak JS (2015) Subscapular abscess in a 9-year-old female patient. JBJS Case Connect 5:e13

    Article  PubMed  Google Scholar 

  9. Beslikas T, Chytas A, Christodoulou A et al (2012) A giant scapular aneurysmal bone cyst in a CHILD. Case Rep Orthop 2012:1–3. https://doi.org/10.1155/2012/327023

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hany Mourkus.

Ethics declarations

Conflict of interest

All the authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-018-2156-4

Keywords

Navigation