Blood TD, Shah KN, Thome AP, Mansuripur PK, Born CT, Paxton ES. Infected Hematoma in the Setting of Nonoperatively Treated Proximal Humerus Fracture: A Report of Two Cases.
JBJS Case Connect 2019;
9:e0035. [PMID:
31425158 DOI:
10.2106/jbjs.cc.18.00035]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
CASE
Two patients presented with infections of their recent proximal humerus fracture sites. These immunocompromised patients were being treated nonoperatively for their proximal humerus fractures; however, both were taken to the operating room for surgical debridement.
CONCLUSIONS
These 2 cases demonstrate the need for further investigation into infection of closed fracture sites. Attention should be paid to immunocompromised patients who present with proximal humerus fractures, especially displaced 2-part surgical neck fractures with anterior deltoid injury and subsequent hematoma formation. These patients may develop an infection with potential rapid progression to life-threatening septic shock.
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