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Anterior-posterior radiograph of the right shoulder at admission.
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X-ray of the shoulder joint (Figure 1) revealed significant osteoarthritis and reduced joint space.
T2 Weighted MRI Images of the right shoulder taken at 22 hours after presentation, showing early osteomyelitis, bone marrow oedema, bursal collection, and high signal consistent with septic arthritis.
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An MRI scan of the shoulder was performed (Figures 2(a) and 2(b)) followed by an open washout of the joint.
Serum analysis of white cell count and C-reactive protein levels during admission. Antibiotic (ABx) switch at day 10 from Benzylpenicillin and Flucloxacillin to Teicoplanin and Fusidic Acid for presumed MSSA.
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The CRP fell consistently though the white cell remained high (Figure 3).