Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The _diagnosis_ of Brodie's abscess from other affections met with at
the ends of long bones, and particularly from tuberculosis, syphilis,
and new growths, is made by a consideration of the previous history,
especially with reference to an antecedent attack of osteomyelitis. When
the adjacent joint is implicated, the surgeon may be misled by the
patient referring all the symptoms to the joint.


The X-ray picture is usually diagnostic chiefly because all the lesions
which are liable to be confused with Brodie's abscess--gumma, tubercle,
myeloma, chondroma, and sarcoma--give a well-marked central clear area;
the sclerosis around Brodie's abscess gives a dense shadow in which the
central clear area is either not seen at all or only faintly (Fig. 121).

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