Ward W G, Eckardt J J
Department of Orthopaedics, Duke University Medical Center, Durham, North Carolina.
Clin Orthop Relat Res. 1993 Mar(288):189-94.
Four subacromial/subdeltoid bursa abscesses were treated in four patients with systemic illnesses. The symptoms and signs of abscesses were minimal in all four patients. In three patients who were chronically ill and debilitated, diagnosis was established only after subacromial space abscesses were encountered during incision and drainage of the glenohumeral or acromioclavicular joint. In these three patients, the subacromial bursa abscesses coexisted with clinically diagnosed mild or resolving shoulder pyarthrosis. All had intact rotator cuffs. The subacromial/subdeltoid space should be evaluated in all cases of suspected glenohumeral pyarthrosis. Computed tomography or magnetic resonance imaging may help detect abscesses and indicate surgical therapy.
4例患有全身性疾病的患者接受了4次肩峰下/三角肌下滑囊脓肿的治疗。所有4例患者脓肿的症状和体征均不明显。在3例慢性病和身体虚弱的患者中，仅在切开引流盂肱关节或肩锁关节时发现肩峰下间隙脓肿后才确诊。在这3例患者中，肩峰下滑囊脓肿与临床诊断为轻度或正在消退的肩关节脓性关节炎并存。所有患者的肩袖均完整。对于所有疑似盂肱关节脓性关节炎的病例，均应评估肩峰下/三角肌下间隙。计算机断层扫描或磁共振成像可能有助于检测脓肿并指导手术治疗。
