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Necrotizing Fasciitis of the Shoulder Following Routine Rotator Cuff RepairA Case Report
Sabino Zani, MD1; Alan Babigian, MD2
1 Department of Surgery, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030. E-mail address: szani@harthosp.org
2 Department of Plastic Surgery, Hartford Hospital, 85 Seymore Street, Suite 401, Hartford, CT 06106
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received 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, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at the Department of Surgery, Hartford Hospital, Hartford, Connecticut

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2008 May 01;90(5):1117-1120. doi: 10.2106/JBJS.G.00173
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Extract

Necrotizing fasciitis is a rare, life-threatening, and rapidly spreading soft-tissue infection that results in necrosis of the muscle, fascia, and surrounding tissue1. We report a case of necrotizing fasciitis occurring in the shoulder of a fifty-three-year-old woman following an uneventful open rotator cuff repair and acromioplasty. Previous reports of necrotizing fasciitis involving the shoulder are limited, with the infection occurring only after apparent muscle strain or shoulder injection2,3. The case of our patient is of particular importance because it appears to be the first reported case following routine rotator cuff surgery. The patient was informed that data concerning the case would be submitted for publication, and she consented.
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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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