J Bone Jt Infect 2019; 4(6):264-267. doi:10.7150/jbji.37266

Research Paper

Brodie's Abscesses Can Stimulate the Growth Plate in Children

Patricia Garcia Pulido, Andrew Hotchen, Ashwin Gojanur, James Corbett, Kuldeep K Stohr

Cambridge University Hospital, United Kingdom

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Citation:
Pulido PG, Hotchen A, Gojanur A, Corbett J, Stohr KK. Brodie's Abscesses Can Stimulate the Growth Plate in Children. J Bone Jt Infect 2019; 4(6):264-267. doi:10.7150/jbji.37266. Available from http://www.jbji.net/v04p0264.htm

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Abstract

Introduction: We present a series of children with lower limb Brodie's abscesses (subacute osteomyelitis) with subsequent deformities.

Method: A retrospective examination of the paediatric bone and joint infection database from 2014-2017 was performed. All children have MRI scans and blood tests including full blood count, ESR and CRP. MRI identified collections were drained surgically.

Results: There were 68 children with bone and joint infections, and 6 had a Brodie's abscess. 4 Brodie's abscesses were adjacent to a growth plate, all these had resultant growth deformities. Some deformities develop up to 3 years after initial presentation.

Discussion: We recommend long-term vigilance for growth deformity after a Brodie's abscess. In particular we demonstrate that infection can result in stimulation of the physis, as opposed to growth retardation as generally accepted.