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Brodie's abscess following percutaneous fixation of distal radius fracture in a child.

Rajakulendran K, Picardo NE, El-Daly I, Hussein R - Strategies Trauma Limb Reconstr (2016)

Bottom Line: The index surgery was complicated by a pin site infection that was treated successfully with antibiotics.Previous trauma or surgery has been implicated as predisposing factors.Ours is the first reported case in an adolescent.

View Article: PubMed Central - PubMed

Affiliation: Basildon and Thurrock University Hospitals NHS Foundation Trust, Nethermayne, Essex, SS16 5NL, UK.

ABSTRACT
We report the case of a Brodie's abscess presenting five and a half years following closed reduction and percutaneous pinning of a distal radius fracture. The index surgery was complicated by a pin site infection that was treated successfully with antibiotics. The patient represented with forearm pain years later, and radiological investigations revealed a Brodie's abscess in the distal radius at the site of the previous Kirschner wires. The Brodie's abscess was managed through surgical curettage and antibiotics. Staphylococcus aureus and diphtheroid organisms were cultured from the intraoperative specimens. A Brodie's abscess is a form of localised subacute osteomyelitis, which usually occurs in the metaphysis of long bones and can mimic malignancy. Previous trauma or surgery has been implicated as predisposing factors. We have only identified one previously reported case of Brodie's abscess following percutaneous pinning. Ours is the first reported case in an adolescent. The aim of this paper is to raise awareness of this rare complication and review the current literature.

No MeSH data available.


Related in: MedlinePlus

MRI scan performed 1 year after curettage of Brodie’s abscess
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Fig6: MRI scan performed 1 year after curettage of Brodie’s abscess

Mentions: At the 3-month follow-up, the patient reported no post-operative complications and only minor discomfort on performing strenuous activity. He demonstrated a full painless range of movement in the left arm, and inflammatory markers were normal. At 12 months, blood test results were again unremarkable and the patient was completely asymptomatic. Radiographs and an MRI scan were repeated (Figs. 5, 6).Fig. 5


Brodie's abscess following percutaneous fixation of distal radius fracture in a child.

Rajakulendran K, Picardo NE, El-Daly I, Hussein R - Strategies Trauma Limb Reconstr (2016)

MRI scan performed 1 year after curettage of Brodie’s abscess
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4814380&req=5

Fig6: MRI scan performed 1 year after curettage of Brodie’s abscess
Mentions: At the 3-month follow-up, the patient reported no post-operative complications and only minor discomfort on performing strenuous activity. He demonstrated a full painless range of movement in the left arm, and inflammatory markers were normal. At 12 months, blood test results were again unremarkable and the patient was completely asymptomatic. Radiographs and an MRI scan were repeated (Figs. 5, 6).Fig. 5

Bottom Line: The index surgery was complicated by a pin site infection that was treated successfully with antibiotics.Previous trauma or surgery has been implicated as predisposing factors.Ours is the first reported case in an adolescent.

View Article: PubMed Central - PubMed

Affiliation: Basildon and Thurrock University Hospitals NHS Foundation Trust, Nethermayne, Essex, SS16 5NL, UK.

ABSTRACT
We report the case of a Brodie's abscess presenting five and a half years following closed reduction and percutaneous pinning of a distal radius fracture. The index surgery was complicated by a pin site infection that was treated successfully with antibiotics. The patient represented with forearm pain years later, and radiological investigations revealed a Brodie's abscess in the distal radius at the site of the previous Kirschner wires. The Brodie's abscess was managed through surgical curettage and antibiotics. Staphylococcus aureus and diphtheroid organisms were cultured from the intraoperative specimens. A Brodie's abscess is a form of localised subacute osteomyelitis, which usually occurs in the metaphysis of long bones and can mimic malignancy. Previous trauma or surgery has been implicated as predisposing factors. We have only identified one previously reported case of Brodie's abscess following percutaneous pinning. Ours is the first reported case in an adolescent. The aim of this paper is to raise awareness of this rare complication and review the current literature.

No MeSH data available.


Related in: MedlinePlus