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

Brodie's Abscesses Can Stimulate the Growth Plate in Children.

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1
Cambridge University Hospital, United Kingdom.

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.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interest exists.

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