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

Published version
Peer-reviewed

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Type

Article

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Authors

Pulido, Patricia Garcia 
Hotchen, Andrew 
Gojanur, Ashwin 
Corbett, James 
Stohr, Kuldeep K 

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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Keywords

32 Biomedical and Clinical Sciences, 3202 Clinical Sciences, Clinical Research, Pediatric, Musculoskeletal

Journal Title

J Bone Jt Infect

Conference Name

Journal ISSN

2206-3552
2206-3552

Volume Title

4

Publisher

Copernicus GmbH