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Journal of Bone and Joint Infection An open-access journal of the European Bone and Joint Infection Society and the MusculoSkeletal Infection Society
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Volume 4, issue 6
J. Bone Joint Infect., 4, 264–267, 2019
https://doi.org/10.7150/jbji.37266
© Author(s) 2019. This work is distributed under
the Creative Commons Attribution 4.0 License.
J. Bone Joint Infect., 4, 264–267, 2019
https://doi.org/10.7150/jbji.37266
© Author(s) 2019. This work is distributed under
the Creative Commons Attribution 4.0 License.

Original full-length article 06 Nov 2019

Original full-length article | 06 Nov 2019

Brodie's Abscesses Can Stimulate the Growth Plate in Children

Patricia Garcia Pulido, Andrew Hotchen, Ashwin Gojanur, James Corbett, and Kuldeep K Stohr Patricia Garcia Pulido et al.
  • 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.

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