1.Brodie’s Abscess of Posterior Ilium with Gluteal Syndrome, an Unusual Cause of Paediatric Low Back Pain: A Case Report
Behera G, Ms Orth, Poduval M, Ms Orth, Patro Dk, Ms Orth, Sahoo S, Ms Orth
Malaysian Orthopaedic Journal 2017;11(2):68-71
Brodie’s abscess is a variety of subacute osteomyelitis with a
long duration of presentation and intermittent pain. It usually
involves the metaphyseal region of long bones of the lower
limbs. Brodie’s abscess of pelvic bone is very rare.
Involvement of posterior ilium with gluteal syndrome is
extremely unusual and can be easily missed or
misdiagnosed. We present a 9-year old boy who reported to
us with intermittent low back pain of three months duration
without any other constitutional symptoms. Clinically, there
was mild tenderness over the posterior ilium. Computed
tomography showed a lytic lesion in the posterior ilium with
a breach in the outer cortex. MRI and bone scan were
suggestive of inflammatory pathology. Keeping infective,
tubercular and benign bone tumors as differential diagnoses,
open biopsy and curettage were done. Staphylococcus aureus
was cultured and histopathology was suggestive of
osteomyelitis. The patient received appropriate antibiotics
for six weeks. He was asymptomatic till 18 months of follow
up without any recurrence. We present this case because of
its rarity and unusual presentation as gluteal syndrome and
low back pain, and its resemblance to other pelvic and
sacroiliac joint pathologies which are often missed or
misdiagnosed in paediatric patients.
2.Neglected Anterior Dislocation of the Elbow Joint: Case Report of a Rare Injury
Nema SK ; Behera G ; Poduval M
Malaysian Orthopaedic Journal 2018;12(2):65-67
anterior dislocation of the right elbow joint in a 19-year oldman. The patient had been initially treated by a traditionalbone setter, but the elbow remained unreduced. He presentedto us with pain, deformity and limited range of motion of hisright elbow joint. Radiographs revealed an unreducedanterior dislocation of the right elbow joint. We describe theproblems encountered during open reduction andrehabilitation and result one year after the operation with thepatient having a stable elbow and a functional range ofmotion.