Tag Archive for: Infant

Small Shoulders, Big Burden: Scapular Osteomyelitis in an Infant

Case Report | Volume 12 | Issue 1 | January-April 2026 | Page: 16-18 | Dyan D’ Souza, Karthik Shyam, Binu T Kurian, Shubha A M

DOI- https://doi.org/10.13107/ijpo.2026.v12.i01.260

Open Access License: CC BY-NC 4.0

Copyright Statement: Copyright © 2026; The Author(s).

Submitted: 31/10/2025; Reviewed: 24/11/2025; Accepted: 11/01/2026; Published: 10/02/2026

Authors: Dyan D’ Souza MS, MCh (Paed Surgery) [1], Karthik Shyam MD Rad [2], Binu T Kurian MS Ortho [3], Shubha A M MS, MCh (Paed Surgery) [1]

[1] Department of Paediatric Surgery, St Johns National Academy of Health Sciences Bangalore, Karnataka, India
[2] Department of Radiodiagnosis, St Johns National Academy of Health Sciences Bangalore, Karnataka, India
[3] Department of Orthopaedics, St Johns National Academy of Health Sciences Bangalore, Karnataka, India

Address of Correspondence

Dr. Shubha A M,
Department of Pediatric Surggery, St Johns National Academy of Health Sciences Bangalore, Karnataka, India
E-mail: dramshubha@yahoo.co.in

Abstract

Background: A mass in relation to the scapula is rare in infancy, causing a diagnostic dilemma. We report a case in an infant presenting with scapular osteomyelitis and highlight the management of this condition.
Case report: A 2-month-old male child presented with an atraumatic swelling in the right scapular region with decreased movements of the upper arm for 15 days with no response to antibiotics. A diffuse firm to hard swelling in the right scapular region, with increased temperature and tenderness restricting both passive and active movements at the shoulder joint was noted on examination. Though total counts and C- reactive protein were raised, the blood culture was sterile. Plain X-ray and MRI revealed osteomyelitis of the right scapula. Biopsy further confirmed the diagnosis. Good response was noted to treatment with antibiotics and physiotherapy
Conclusion: A scapular mass without shoulder arthritis, longer duration of symptoms, negative cultures and the absence of sepsis are notable features in this case. Emphasis is on prompt diagnosis and treatment with antibiotics and appropriate physiotherapy to prevent long term complications.
Keywords: Infant, Scapula, Osteomyelitis, Antibiotics, Case report

References

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How to Cite this Article:  D’ Souza D, Shyam K, Kurian BT, Shubha AM. Small Shoulders, Big Burden: Scapular Osteomyelitis in an Infant. International Journal of Paediatric Orthopaedics. January-April 2026; 12(1): 16-18.

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Sternal Tuberculosis in an Infant: The Presenting Feature of Disseminated Disease

Volume 7 | Issue 3 | September-December 2021 | Page: 42-45 | Vikas R. Basa, Raghavendraswami Thete, Tanu Singhal

DOI-10.13107/ijpo.2021.v07i03.123

Authors: Vikas R. Basa DNB Orth. [1], Raghavendraswami Thete DNB Orth. [1], Tanu Singhal MD Paediatrics, MSc Infectious Disease [1]

[1] Department of Pediatric Orthopedics, Centre for Bone and Joint, Kokilaben Dhirubhai Ambani Hospital & Medical Research Center, Mumbai, Maharashtra, India.
[2] Department of Paediatrics, Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute, Mumbai, Maharashtra, India.

Address of Correspondence
Dr Vikas R Basa
Consultant Pediatric Orthopedics, Centre for Bone and Joint, Kokilaben Dhirubhai Ambani Hospital & Medical Research Center, Mumbai, Maharashtra, India.
E-mail: basavikas@gmail.com

Abstract

We report here the case of a 9 month old previously healthy female infant who presented with a swelling over the anterior chest wall. Radiologic, histopathology and microbiologic tests confirmed it as a case of sternal tuberculosis. The sternal disease improved after starting anti-tubercular therapy but she then developed seizures due to a paradoxical reaction leading to unmasking of a brain tuberculoma. She is well after 1 year therapy. The case is presented in view of rarity of musculoskeletal tuberculosis in infants and even rarer phenomenon of sternal involvement.
Keywords: Infant, Sternal tuberculosis, Tuberculoma

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How to Cite this Article:  Basa VR, Thete R, Singhal T | Sternal Tuberculosis in an Infant: The Presenting Feature of Disseminated Disease | International Journal of Paediatric Orthopaedics | September- December 2021; 7(3): 42-45.

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