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Spontaneous Septic Subscapular AbscessA Case Report
Robert J. Nowinski, DO1; Clark Duchene, MD2
1 Orthopaedic Specialists and Sports Medicine, 1980 Tamarack Road, Newark, OH 43055. E-mail address: nowinski@pol.net
2 Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-8883
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The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Department of Veterans Affairs Medical Center, Dallas, Texas

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Jun 01;86(6):1302-1304
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Sepsis about the shoulder girdle is a relatively uncommon clinical entity that accounts for approximately 10% to 15% of all joint infections1. Sepsis of the subscapular space, defined as the area between the subscapularis muscle and the chest wall, is an extremely rare condition; we identified only two previously reported cases in our review of the literature, one of which was fatal because of a delay in recognition2,3. Most cases of sepsis about the shoulder, including these two previously reported cases, are associated with some systemic condition that is causing immunocompromise or some type of local tissue abnormality, or both4. We describe the case of a healthy fifty-three-year-old man in whom an extensive septic subscapular abscess developed. This particular case is unique in that the abscess developed spontaneously, with no predisposing factor such as penetrating trauma, blunt trauma with formation of a hematoma, or a previous infectious condition. Our patient was informed that data concerning the case would be submitted for publication.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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