Thursday, February 9, 2017

Shoulder injection led to shoulder infection

We were recently consulted by a man in his 40s who had a painful shoulder after a motor vehicle accident in the past. A year and a half ago he had these x-rays and limited motion of his shoulder.

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.