Brodie’s Abscess of the Distal Radius: An Unusual Complication after Percutaneous Pinning

HAND - Tập 3 - Trang 381-384 - 2008
Jeff W. Johnson1, Randip R. Bindra2
1Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, USA
2Department of Orthopaedic Surgery, Loyola University Medical Center, Maywood, USA

Tóm tắt

We report a case of Brodie’s abscess of the distal radius that presented 4 years after closed reduction and percutaneous pinning for a closed distal radius fracture. This condition has not been previously reported in the adult distal radius and we detail the clinical features and imaging findings. We also present a new way of management of Brodie’s abscess using injectable bone substitute along with adjunctive parenteral antibiotic therapy.

Tài liệu tham khảo

Alter SA, Sprinkle RW. Brodie’s abscess: a case report. J Foot Ankle Surg 1995;34(2):208–14. Ezra E, Khermosh O, Assia A, et al. Primary subacute osteomyelitis of the axial and appendicular skeleton. J Pediatr Orthop B 1993;1:148–52. Grey AC, Davies AM, Mangham DC, et al. The ‘penumbra sign’ on T1-weighted MR imaging in subacute osteomyelitis: frequency, cause and significance. Clin Radiol 1998;53(8):587–92. doi:10.1016/S0009-9260(98)80150-5. Lindenbaum S, Alexander H. Infections simulating bone tumors. A review of subacute osteomyelitis. Clin Orthop Relat Res 1984. (184):193–203. Lopes TD, Reinus WR, Wilson AJ. Quantitative analysis of the plain radiographic appearance of Brodie’s abscess. Invest Radiol 1997;32(1):51–8. doi:10.1097/00004424-199701000-00008. Resnick D, Niwayama G. Osteomyelitis, septic arthritis, and soft tissue infection: mechanisms and situations. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1995. p. 2325–418. Stephens MM, MacAuley P. Brodie’s abscess. A long-term review. Clin Orthop Relat Res 1988. (234):211–6. Urban RM, Turner TM, Hall DJ, Infanger S, Cheema N, Lim TH. Healing of large defects treated with calcium sulfate pellets containing demineralized bone matrix particles. Orthopedics 2003;26(5 Suppl):s581–85.