PDF(Pubmed)
Abstract：
UNASSIGNED: An intramuscular abscess of the subscapularis is a rare phenomenon but important pathology for surgeons to be aware of because clinical deterioration can be rapid and diagnosis difficult. The presentation often mimics other common shoulder pathologies with subacute shoulder pain and stiffness. Early diagnosis, antibiotics and surgical drainage are critical to reduce the spread and joint destruction.
UNASSIGNED: A search of PubMed and Google Scholar databases identified cases of subscapular intramuscular abscess. Data collected about each case included patient demographics, presentation, pathology, surgical treatment and outcome. The authors report one additional subscapular abscess case.
UNASSIGNED: Data from 17 cases of subscapular abscess were found, 16 in the literature and one case described by the authors. Sixteen of 17 cases (94.1%) presented with shoulder pain and reduced range of motion worsening over a mean of 6.7 days prior to presentation. Surgical approaches utilised included a posterior inferomedial approach, deltoid-pectoral approach and one posterior inferolateral approach.
UNASSIGNED: From the limited data available regarding subscapular intramuscular abscess, the authors make the following recommendations: (1) Empirical antibiotics covering Staphylococcus aureus +/- methicillin-resistant Staphylococcus aureus, (2) drainage is indicated in all cases; and (3) tendon-sparing approaches can access an abscess in most locations within the subscapular space.
UNASSIGNED: A search of PubMed and Google Scholar databases identified cases of subscapular intramuscular abscess. Data collected about each case included patient demographics, presentation, pathology, surgical treatment and outcome. The authors report one additional subscapular abscess case.
UNASSIGNED: Data from 17 cases of subscapular abscess were found, 16 in the literature and one case described by the authors. Sixteen of 17 cases (94.1%) presented with shoulder pain and reduced range of motion worsening over a mean of 6.7 days prior to presentation. Surgical approaches utilised included a posterior inferomedial approach, deltoid-pectoral approach and one posterior inferolateral approach.
UNASSIGNED: From the limited data available regarding subscapular intramuscular abscess, the authors make the following recommendations: (1) Empirical antibiotics covering Staphylococcus aureus +/- methicillin-resistant Staphylococcus aureus, (2) drainage is indicated in all cases; and (3) tendon-sparing approaches can access an abscess in most locations within the subscapular space.
摘要：
■肩胛骨下的肌内脓肿是一种罕见的现象，但对于外科医生来说是重要的病理，因为临床恶化可能会迅速且诊断困难。该表现通常模仿具有亚急性肩痛和僵硬的其他常见肩关节病变。早期诊断,抗生素和外科引流对减少关节的传播和破坏至关重要。
■对PubMed和GoogleScholar数据库的搜索确定了肩胛骨下肌内脓肿的病例。收集到的每个病例的数据包括患者的人口统计学，介绍,病理学,手术治疗和结果。作者报告了另一例肩胛骨下脓肿病例。
■我们发现了17例肩胛骨下脓肿，文献中的16个和作者描述的一个案例。17例中有16例（94.1％）在就诊前平均6.7天内出现肩痛和活动范围恶化。使用的手术方法包括后下入路，三角肌胸肌入路和后下外侧入路。
■从有关肩胛骨下肌内脓肿的有限数据，作者提出了以下建议：（1）经验性抗生素涵盖金黄色葡萄球菌+/-耐甲氧西林金黄色葡萄球菌，（2）在所有情况下都应引流；（3）保留肌腱的方法可以在肩胛骨下间隙的大多数位置进入脓肿。
■对PubMed和GoogleScholar数据库的搜索确定了肩胛骨下肌内脓肿的病例。收集到的每个病例的数据包括患者的人口统计学，介绍,病理学,手术治疗和结果。作者报告了另一例肩胛骨下脓肿病例。
■我们发现了17例肩胛骨下脓肿，文献中的16个和作者描述的一个案例。17例中有16例（94.1％）在就诊前平均6.7天内出现肩痛和活动范围恶化。使用的手术方法包括后下入路，三角肌胸肌入路和后下外侧入路。
■从有关肩胛骨下肌内脓肿的有限数据，作者提出了以下建议：（1）经验性抗生素涵盖金黄色葡萄球菌+/-耐甲氧西林金黄色葡萄球菌，（2）在所有情况下都应引流；（3）保留肌腱的方法可以在肩胛骨下间隙的大多数位置进入脓肿。
