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Brodie's Abscess Following External Fixation And Percutaneous Pinning Of The Distal Radius: A Delayed Presentation 19 Years Later
Kwesi G. Dawson-Amoah, M.D.
Hani Mayassi, D.O.
Carlo Coladonato, M.S.
Aparajit Naram, M.D.
WellSpan York Hospital General Surgery Residency Program
2022-01-31
Presenter: Kwesi G. Dawson-Amoah, M.D.
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. The work herein represents the original work of the resident author.
Director Name: Ebondo Mpinga
Author Category: Other Specialty Resident
Presentation Category: Clinical
Abstract Category: Hand
We report the case of a healthy 47-year-old adult male who developed a Brodie's abscess several years after remote surgical history of external fixation for a right distal radius fracture. A review of the literature was conducted, and to our knowledge, this is one of the first reported cases of a Brodie's abscess in the distal radius of an adult following external fixation and percutaneous pinning. Brodie's abscess is a challenging diagnosis, as patients may present with non-specific symptoms and no recent history of trauma. We present a novel case of a Brodie's abscess in the distal radius of an adult 19 years following external fixation and percutaneous pinning. Acute surgical intervention followed by staged bone grafting for Brodie's abscess may yield success in future cases similar to ours. An astute physician should keep this pathology in their differential as undiagnosed osteomyelitis may lead to bone destruction and decreased quality of life. This case report will provide health professionals a narrative into an uncommon complication of surgical implants and offer therapeutic approaches when presented with a patient who presents with similar symptomatology.
