J Bone Jt Infect 2019; 4(6):264-267. doi:10.7150/jbji.37266
Brodie's Abscesses Can Stimulate the Growth Plate in Children
Cambridge University Hospital, United Kingdom
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
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.