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Clin Shoulder Elbow > Volume 17(4); 2014 > Article
Clinics in Shoulder and Elbow 2014;17(4):197-200.
DOI: https://doi.org/10.5397/CiSE.2014.17.4.197    Published online December 31, 2014.
Acute Osteomyelitis in the Proximal Humerus Caused by Pyogenic Glenohumeral Arthritis in an Elderly Patient: A Case Report
Yoon Suk Hyun, Jae Woo Kwon, Sung Yup Hong, Kyeol Han
Department of Orthopaedic Surgery, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea. yshyun72@gmail.com
Received: 21 August 2014   • Revised: 4 November 2014   • Accepted: 5 November 2014
Abstract
Reports of osteomyelitis in the proximal humerus with pyogenic glenohumeral arthritis of adjacent joints mostly involve pediatric patients. Nowadays, osteomyelitis that is secondary to adjacent pyogenic glenohumeral arthritis is extremely rare, even more so in adults than in pediatrics. We report a rare case of the pyogenic glenohumeral arthritis followed by osteomyelitis of the proximal humerus in an elderly patient. Initially, we diagnosed a case of pyogenic glenohumeral arthritis only, which, despite arthroscopic synovectomy, did not resolve and severe pain continued. Subsequent radiological imaging, performed after our suspicion of a secondary involvement, allowed us to diagnose osteomyelitis combined with the pyogenic glenohumeral arthritis, which we had overlooked because of the extreme rarity of the condition in adults since the antibiotic era began.
Key Words: Septic arthritis; Shoulder; Osteomyelitis


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