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Brodie's Abscesses Can Stimulate the Growth Plate in Children

Patricia Garcia Pulido1, Andrew Hotchen1, Ashwin Gojanur1

  • 1Cambridge University Hospital, United Kingdom.

Journal of Bone and Joint Infection
|January 23, 2020
PubMed

Insights

Brodie

Area of Science:

  • Pediatric Orthopedics
  • Pediatric Infectious Diseases
  • Pediatric Radiology

Background:

  • Brodie's abscess, a form of subacute osteomyelitis, can affect children.
  • Growth deformities are a known complication of pediatric bone infections.
  • The long-term effects of Brodie's abscess on physeal growth require further investigation.

Purpose of the Study:

  • To investigate the incidence and outcomes of Brodie's abscess in children.
  • To identify the relationship between Brodie's abscess location and subsequent growth deformities.
  • To evaluate the impact of Brodie's abscess on physeal growth and development.

Main Methods:

  • Retrospective review of a pediatric bone and joint infection database (2014-2017).
  • Analysis of MRI scans and blood tests (full blood count, ESR, CRP) for children with Brodie's abscess.
  • Surgical drainage of abscess collections identified on MRI.

Main Results:

  • Six cases of Brodie's abscess were identified among 68 pediatric bone and joint infections.
  • Four of these abscesses were adjacent to a growth plate, all resulting in deformities.
  • Growth deformities developed up to 3 years post-presentation and could involve physeal stimulation.

Conclusions:

  • Long-term monitoring for growth deformities is crucial after pediatric Brodie's abscess.
  • Brodie's abscess can lead to physeal stimulation, challenging the traditional view of growth retardation.
  • Early detection and management of Brodie's abscess are vital to minimize long-term orthopedic complications.

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