Jornal de Trauma e Tratamento

Acute-on-Chronic Osteomyelitis of the Scapula Treated via Trephination

Abstract

Timothy Woodacre, Timothy Mason

We present a 12 year old girl who developed pyrexia and a widespread rash following 5 weeks of right shoulder pain. No initial source for sepsis was found. She was diagnosed with right scapula osteomyelitis following plain radiographs and Magnetic Resonance Imaging (MRI). No collection was demonstrated. Despite five days of intravenous antibiotics, she became haemodynamically compromised. She was taken to theatre and her scapula was trephined. Whilst no gross collection was drained, post-operatively she improved rapidly and was discharged home on intravenous (IV) antibiotics.