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Introduction:  Subscapular abscess is an extremely rare condition. To our knowledge there were nine reports on subscapular abscess in the literature, four of them happened paediatric patients. The signs and symptoms could be very subtle making the diagnosis is difficult and often delayed. Case description: We share a rare case of isolated subscapularis abscess with no glenohumeral involvement of a healthy 9-year-old boy following blunt trauma to the shoulder treated with antibiotics and percutaneous drainage with good outcome. Conclusion: Subscapular abscess should be suspected in a child present with fever and shoulder pain. Magnetic resonance imaging is the best modality for diagnosis as plain radiograph would not give any diagnostic help. Surgical drainage combined with antibiotics are the mainstay of treatment. However, percutaneous drainage is one of treatment options especially in paediatric patient as demonstrated in our report.

Distal femur physeal arrest due to physeal bar formation with progressive deformities is an unwanted complication following injury to the femur. Various techniques of physeal bar resection, either using open techniques or endoscopic methods, have been described in the available literature. The associated angular deformities could be addressed either with osteotomy in acute correction or gradual correction with an external fixator or guided growth principle. We would like to recommend the use of fat tissues from the surgical wound used for the guided growth and evaluation of the recurrence of the physeal bar via computed tomography in our case. To our knowledge there is no previous reports using similar approach. We shall share case of a severely comminuted distal femoral physeal injury Salter-Harris IV complicated with central physeal bar causing growth disturbance and angular knee deformity treated via endoscopic resection surgery and simultaneous 8-plate insertion for which has shown a good radiological and functional outcome.

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