Windolf J, Konold P
Klinik für Unfallchirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt.
Unfallchirurgie. 1997 Feb;23(1):23-9.
We report 3 individually different cases of primary chronic osteomyelitis. Neither the plasmacellular nor the sclerosing forms caused diagnostic or therapeutic difficulties whereas the case of a 40-year old male patient with a Brodie abscess in the tibial head could not be diagnosed unless the untreated abscess had perforated into the knee itself and empyema of the knee leaded to operative treatment and finally diagnosis of the Brodie abscess. Follow-up X-rays in weekly periods or MRT could have been helpful to avoid delayed diagnosis.
我们报告了3例原发性慢性骨髓炎的不同病例。浆细胞型和硬化型均未造成诊断或治疗困难，而一名40岁男性患者，其胫骨头部出现布罗迪脓肿，除非未治疗的脓肿穿破进入膝关节本身且膝关节积脓导致手术治疗并最终诊断为布罗迪脓肿，否则无法确诊。每周进行X线随访或磁共振成像可能有助于避免延迟诊断。
