Brodie abscess

Brodie abscess

A Brodie abscess is a subacute osteomyelitis, which may persist for years before converting to a frank osteomyelitis. Classically, this may present after conversion as a draining abscess extending from the tibia out through the shin.

Most frequent causitive organism is Staphylococcus aureus.

Clinical Presentation

Localized pain, often nocturnal, alleviated by aspirin. Often mimics the symptoms of Osteoid osteoma, which is typically < 1cm diameter.

Most Frequent Sites

Usually occurs at the metaphysis of long bones.Distal tibia,proximal tibia,distal femur,proximal or distal fibula, and distal radius.

Radiographic Features

Oval elliptical or serpiginous radiolucency usually >1cm surrounded by a heavily reactive sclerosis, granulation tissue, and a Nidus often less than 1cm. The margins often appear scalloped on radiograph. Brodie's abscess is best visualized using Computed tomography (CT) scan. [http://www.whonamedit.com/synd.cfm/961.html Whonamedit]


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