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Infected Hematoma in the Setting of Nonoperatively Treated Proximal Humerus Fracture

A Report of Two Cases

Blood, Travis D. MD1; Shah, Kalpit N. MD1; Thome, Andrew P. Jr. MD1; Mansuripur, Peter K. MD1; Born, Christopher T. MD1; Paxton, E. Scott MD1

doi: 10.2106/JBJS.CC.18.00035
Case Reports

Case: Two patients presented with infections of their recent proximal humerus fracture sites. These immunocompromised patients were being treated nonoperatively for their proximal humerus fractures; however, both were taken to the operating room for surgical debridement.

Conclusions: These 2 cases demonstrate the need for further investigation into infection of closed fracture sites. Attention should be paid to immunocompromised patients who present with proximal humerus fractures, especially displaced 2-part surgical neck fractures with anterior deltoid injury and subsequent hematoma formation. These patients may develop an infection with potential rapid progression to life-threatening septic shock.

1Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island

E-mail address for A.P. Thome:

Investigation performed at Rhode Island Hospital by the Orthopaedic Surgery Department of the Warren Alpert School of Medicine at Brown University, Providence, Rhode Island

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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