Transphyseal Curettage of Epiphyseal Brodie's Abscess: A Case Report

Epiphyseal Brodie's abscesses represent a rare, slow-progressing form of osteomyelitis that contrasts with the more aggressive types of infection typically seen in bone. These abscesses develop from a low-grade infection and progress gradually, posing unique challenges for treatment due to their proximity to the growth plate and joint structures. While the literature on managing epiphyseal Brodie's abscesses is limited, common treatments include antibiotics and surgical drainage. However, removing these lesions can be complicated by the risk of growth plate damage. This case report describes a patient with an epiphyseal Brodie's abscess that persisted despite standard curettage. We employed an acute-angle trans-physical curettage technique, which allowed for complete lesion excision while preserving the integrity of the growth plate and minimizing the risk of growth disturbance. By accessing the abscess through the diaphysis, metaphysis, and physis, this method proved to be an effective treatment option for Brodie's abscesses located near the physis.