The Journal of Bone and Joint Surgery (American). 2008;90:1117-1120.
doi:10.2106/JBJS.G.00173
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Necrotizing Fasciitis of the Shoulder Following Routine Rotator Cuff Repair

A Case Report

Sabino Zani, MD1 and Alan Babigian, MD2

1 Department of Surgery, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030. E-mail address: szani@harthosp.org
2 Department of Plastic Surgery, Hartford Hospital, 85 Seymore Street, Suite 401, Hartford, CT 06106
Investigation performed at the Department of Surgery, Hartford Hospital, Hartford, Connecticut

The first 150 words of the full text of this article appear below.


   Introduction
 
Necrotizing fasciitis is a rare, life-threatening, and rapidly spreading soft-tissue infection that results in necrosis of the muscle, fascia, and surrounding tissue1. We report a case of necrotizing fasciitis occurring in the shoulder of a fifty-three-year-old woman following an uneventful open rotator cuff repair and acromioplasty. Previous reports of necrotizing fasciitis involving the shoulder are limited, with the infection occurring only after apparent muscle strain or shoulder injection2,3. The case of our patient is of particular importance because it appears to be the first reported case following routine rotator cuff surgery. The patient was informed that data concerning the case would be submitted for publication, and she consented.


   Case Report
 
A previously healthy, fifty-three-year-old woman whose only known comorbidity was a one-pack-per-day smoking history presented with a six-month history of progressive right shoulder pain and weakness despite nonsurgical treatments including physical therapy and corticosteroid injections. Radiographs made at another institution . . . [Full Text of this Article]


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