Treatment for Brodie's abscess of the radius in an adolescent: A case report

International Journal of Surgery Case Reports
Takahiro Ushijima, Ken Arai

Abstract

Brodie's abscess is an uncommon type subacute osteomyelitis. It is typically localized in the metaphysis of tubular bones, particularly in the lower extremities. We herein report a rare case of the abscess appearing in the upper extremities. Furthermore, we successfully treated the large abscess without autogenous bone grafting. 14-year-old female presented with pain and swelling on the right forearm. Plain radiograph and CT scan indicated a 10 cm longitudinal cortical bone hypertrophy and a well-defined radiolucent lesion in the diaphysis of the right radius. MRI demonstrated that the lesion was hypointense on T1-weighted imaging and hyperintense on T2-weighted imaging inside as well as outside the bone marrow of the radius. Laboratory data showed no inflammatory response, but Staphylococcus aureus was detected by biopsy. We diagnosed Brodie's abscess of the radius, and performed definitive surgery. Infected bone marrow was curetted and a bony sequestrum inside the cortical bone was harvested. We did not use autogenous bone grafting, since the upper extremities are areas of unloaded bone. Postoperative administration of antibiotics was subsequently performed. One year after surgery, the patient was asymptomatic and there were ...Continue Reading

References

Jul 1, 1979·Radiology·W B MillerL A Gilula
May 1, 1985·The Journal of Bone and Joint Surgery. British Volume·E R Ross, W G Cole
Jan 28, 2005·The Journal of Trauma·Hsin-Nung ShihYon-Cheong Wong
Jan 1, 1832·Medico-chirurgical Transactions·B C Brodie
May 17, 2017·The Journal of Hand Surgery Asian-Pacific Volume·N TakeuchiY Iwamoto
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group
Feb 14, 2019·Journal of Bone and Joint Infection·Niels van der NaaldDetlef van der Velde

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