一种用于肩胛下脓肿引流的肩胛骨后外侧入路：病例报告
A Posterolateral Approach to the Scapula for Evacuation of a Subscapular Abscess: A Case Report.
作者信息
Christman-Skieller Claudia, McIntyre Lisa K, Plevin Rebecca, Friedrich Jeffrey B, Smith Douglas G
机构信息
Department of Orthopaedics and Sports Medicine (C.C.-S. and D.G.S.), Division of Trauma, Burns, and Surgical Critical Care (L.K.M.), and Division of Plastic Surgery (J.B.F.), Department of Surgery, University of Washington, Seattle, Washington.
Department of Surgery, University of California at San Francisco, San Francisco, California.
出版信息
JBJS Case Connect. 2017 Jul-Sep;7(3):e57. doi: 10.2106/JBJS.CC.16.00241.
CASE
We present the case of a subscapular abscess that was drained via a posterolateral approach to the scapula. Complete evacuation of the abscess was achieved, and the incisions healed without difficulty. There were no immediate postoperative complications from this approach.
CONCLUSION
To our knowledge, a posterolateral approach for evacuating a subscapular abscess has not been described previously in the literature. Utilizing the internervous plane between the teres major and latissimus dorsi muscles, along with medial counterincisions, allows for safe drainage of this rare type of abscess.
病例
我们报告一例通过肩胛骨后外侧入路引流的肩胛下脓肿病例。脓肿得以完全清除，切口顺利愈合。该入路术后未出现即刻并发症。
结论
据我们所知，文献中此前未描述过通过后外侧入路引流肩胛下脓肿。利用大圆肌和背阔肌之间的神经间隙平面，并辅以内侧对口引流切口，可安全引流这种罕见类型的脓肿。
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