title: Scapular osteomyelitis. An unusual complication following subacromial corticosteroid injection.
abstract: Impingement syndrome is a common disorder of the shoulder. Most patients respond to conservative treatment consisting of rest, ice/heat, anti-inflammatory agents, and physical therapy. Subacromial corticosteroid injection may be used when other forms of conservative treatment fail. A case is reported involving a 29-year-old man who developed scapular osteomyelitis following subacromial corticosteroid injection. Successful treatment consisted of surgical debridement followed by a combination of intravenous and oral antibiotic therapy. Strict adherence to aseptic technique is emphasized for performing subacromial corticosteroid injection.
authors.affiliation: Department of Orthopaedic Surgery, Naval Hospital, Oakland, California.
authors.forename: S L
authors.initials: SL
authors.lastname: Buckley
authors.forename: A H
authors.initials: AH
authors.lastname: Alexander
authors.forename: R L
authors.initials: RL
authors.lastname: Barrack
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000328:Adult; D003131:Combined Modality Therapy; D003646:Debridement; D006801:Humans; D007267:Injections / Q000009:adverse effects*; D008297:Male; D009408:Nerve Compression Syndromes / Q000188:drug therapy; D010019:Osteomyelitis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D012540:Scapula; D013212:Staphylococcus epidermidis / Q000302:isolation & purification
chemical_list: D000305:Adrenal Cortex Hormones