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Pediatric Hip Pain with Bone Lesion, Sepsis, and Occam's Razor = Brodie's Abscess Case Report
Barbara Minkowitz1, Eytan Mendelow1, Jennifer Ristic1
1Department of Orthopedics, Morristown Medical Center, 261 James Street, Suite 3C, Morristown, New Jersey.
Journal of Orthopaedic Case Reports
|April 29, 2024
Summary
Brodie's abscess, a subtle form of osteomyelitis, is often misdiagnosed in children. This case highlights its potential to mimic toxic synovitis, delaying diagnosis and treatment.
Area of Science:
- Pediatric Orthopedics
- Pediatric Infectious Diseases
- Radiology
Background:
- Brodie's abscess, a subacute osteomyelitis, presents with subtle symptoms, leading to diagnostic challenges.
- High rates of misdiagnosis (up to 90%) occur, with delays averaging 3 months, often mistaken for tumors.
- Differential diagnosis is crucial due to overlapping presentations with other conditions.

