Unusual Sites of Brodie's Abscess and the use of Calcium Sulfate Beads: A Case Series

Introduction: Brodie's abscess is one type of subacute osteomyelitis without any sequestrum or any systemic illness. Thorough debridement and removal of sclerotic rim are the mainstay of the treatment. Antibiotic-impregnated calcium sulfate (AICS) beads act as osteoconductive and at the same time, it maintains high antibiotic concentration locally.

Case report: Three cases are presented with unusual sites of Brodie's abscess without any history of injury, puncture wound, swelling, or fever. All the patients were presented with dull-aching localized deep bony pain. With X-ray and magnetic resonance imaging (MRI) typical findings, it was diagnosed as Brodie's abscess. All patients went through surgical procedure and AICS beads insertion inside the bony cavity. All the patients were cured of the disease without any discharge or recurrence of pain with well consolidation of the bony void.

Conclusion: In chronic localized bony dull-aching pain with normal blood parameters without any systemic illness, investigations such as X-ray and MRI should be done. Meticulous surgical debridement and AICS beads insertion without bone graft may be considered as definitive treatment of Brodie's abscess.