A year ago he had an injection into his shoulder, after which his shoulder pain increased dramatically. He then underwent an arthroscopic washout for a shoulder joint infection that he thinks may have been due to staphylococcus.
He then presented to us with a completely stiff shoulder and these x-rays.
We plan a debridement with cultures, a primary hemiarthroplasty and intravenous Vancomycin and Ceftriaxone.
Comment: We do not know the degree of sterile precautions that were taken at the time of his injection. In any event, this case demonstrates that shoulder injection is not without risk.
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