{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:40Z","timestamp":1787755420442,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00035","type":"journal-article","created":{"date-parts":[[2019,8,17]],"date-time":"2019-08-17T03:44:31Z","timestamp":1566013471000},"page":"e0035-e0035","source":"Crossref","is-referenced-by-count":1,"title":["Infected Hematoma in the Setting of Nonoperatively Treated Proximal Humerus Fracture"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1110-8573","authenticated-orcid":false,"given":"Travis D.","family":"Blood","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0883-1426","authenticated-orcid":false,"given":"Kalpit N.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1962-5898","authenticated-orcid":false,"given":"Andrew P.","family":"Thome","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7323-4866","authenticated-orcid":false,"given":"Peter K.","family":"Mansuripur","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1402-683X","authenticated-orcid":false,"given":"Christopher T.","family":"Born","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0795-4918","authenticated-orcid":false,"given":"E. Scott","family":"Paxton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"2413","DOI":"10.1007\/s00198-013-2339-0","article-title":"Epidemiology of proximal humeral fractures in Austria between 1989 and 2008","volume":"24","author":"Dimai","year":"2013","journal-title":"Osteoporos Int."},{"issue":"11","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"3118","DOI":"10.1007\/s11999-011-1865-3","article-title":"Human early fracture hematoma is characterized by inflammation and hypoxia","volume":"469","author":"Kolar","year":"2011","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1007\/s11999-008-0226-3","article-title":"Infection associated with hematoma formation after shoulder arthroplasty","volume":"466","author":"Cheung","year":"2008","journal-title":"Clin Orthop Relat Res."},{"issue":"3","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/S0002-8703(96)90255-0","article-title":"Infected sternal fracture hematoma after cardiopulmonary resuscitation initially seen as pericarditis","volume":"132","author":"Wehrens","year":"1996","journal-title":"Am Heart J."},{"key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"423","DOI":"10.3109\/17453674.2012.704564","article-title":"Infection of the fracture hematoma from skeletal traction in an asymptomatic HIV-positive patient additional support for early surgical treatment of femoral fractures in people living with HIV in low-income countries?","volume":"83","author":"Young","year":"2012","journal-title":"Acta Orthop."},{"key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"bcr2015211090","DOI":"10.1136\/bcr-2015-211090","article-title":"Secondary infection of haematoma following closed acromioclavicular joint dislocation","volume":"2016","author":"Dupley","year":"2016","journal-title":"BMJ Case Rep."},{"issue":"suppl 2","key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"38","DOI":"10.2106\/00004623-200100021-00009","article-title":"The parachute technique: valgus impaction osteotomy for two-part fractures of the surgical neck of the humerus","volume":"83-A","author":"Banco","year":"2001","journal-title":"J Bone Joint Surg Am."},{"key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1007\/s00276-005-0318-7","article-title":"The arteries of the humeral head and their relevance in fracture treatment","volume":"27","author":"Meyer","year":"2005","journal-title":"Surg Radiol Anat."},{"key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/s12026-011-8235-9","article-title":"Immunologically restricted patients exhibit a pronounced inflammation and inadequate response to hypoxia in fracture hematomas","volume":"51","author":"Hoff","year":"2011","journal-title":"Immunol Res."},{"key":"bib11-20230712","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1016\/j.arth.2016.11.010","article-title":"Decreased bacterial adherence, biofilm formation, and tissue reactivity of barbed monofilament suture in an in vivo contaminated wound model","volume":"32","author":"Morris","year":"2017","journal-title":"J Arthroplasty."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201909000-00023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:28Z","timestamp":1787751748000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201909000-00023"}},"subtitle":["A Report of Two Cases"],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.18.00035","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]}}}