515 results match your criteria Osteitis Pubis


Prostatosymphyseal Fistula After Photoselective Vaporization of the Prostate: A Very Rare Complication of a Transurethral Surgery.

Cureus 2020 Apr 16;12(4):e7703. Epub 2020 Apr 16.

Urology, Hippokration General Hospital, Athens, GRC.

Prostatosymphyseal fistula (PSF) is a very rare complication described after transurethral surgery of the prostate including photoselective vaporization of the prostate (PVP) with GreenLight laser (Boston Scientific, Marlborough, MA). Sporadic cases have also been reported in the literature as side effects of pelvic radiation therapy. We present a 65-year-old male patient who underwent PVP as an elective procedure for the treatment of severe lower urinary tract symptoms. Read More

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http://dx.doi.org/10.7759/cureus.7703DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233518PMC

Prevalence of asymptomatic radiological findings in the groin region: a systematic review.

Phys Sportsmed 2020 Mar 26:1-7. Epub 2020 Mar 26.

Faculty of Kinesiology and Rehabilitation Sciences, KU Leuven, Leuven, Belgium.

: The aim of this study is to investigate in current literature the prevalence of asymptomatic adductor and pubic abnormalities on MRI and ultrasound.: A systematic review of the literature was carried out using PubMed to identify all studies reporting asymptomatic pubic- and adductor-related findings on MRI and/or ultrasound. All types of studies were eligible for inclusion, except case reports. Read More

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http://dx.doi.org/10.1080/00913847.2020.1746209DOI Listing

The prevalence of athletic pubalgia imaging findings on MRI in patients with femoroacetabular impingement.

Skeletal Radiol 2020 Aug 6;49(8):1249-1258. Epub 2020 Mar 6.

Department of Radiology, Division of Musculoskeletal Radiology, NewYork-Presbyterian Hospital Columbia University Medical Center, 622 West 168th Street, MC-28, New York, NY, 10032, USA.

Objective: To determine the prevalence of athletic pubalgia imaging findings on MRI in patients with femoroacetabular impingement and assess for correlative risk factors.

Materials And Methods: A retrospective search identified 156 hips with femoroacetabular impingement and a control group of 113 without femoroacetabular impingement that had an MRI performed between January 1, 2015, and January 1, 2018. Two fellowship-trained musculoskeletal radiologists reviewed studies for the presence of acute osteitis pubis, chronic osteitis pubis, adductor tendinosis, and tendon tear; rectus abdominis tendinosis and tendon tear; and aponeurotic plate tear. Read More

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http://dx.doi.org/10.1007/s00256-020-03405-zDOI Listing

Insights in clinical examination and diagnosis of Athletic Pubalgia.

G Chir 2020 Jan-Feb;41(1):131-135

Athletic pubalgia presents with groin and/or pubic pain mainly in athletes. The purpose of this review is to analyze, by evaluating current literature, the clinical examination and differential diagnosis of athletic pubalgia, in an effort to better understand this clinical entity. Diagnosis is challenging due to the anatomical complexity of the groin area, the biomechanics of the pubic Romasymphysis region and the large number of potential sources of groin pain. Read More

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February 2020

Pubic apophysitis in elite Australian Rules football players: MRI findings and the utility of VIBE sequences in evaluating athletes with groin pain.

Authors:
E Koh J Boyle

Clin Radiol 2020 Apr 1;75(4):293-301. Epub 2020 Feb 1.

Medical Department, Fremantle Football Club, Cockburn Central, Western Australia, Australia; School of Physiotherapy and Exercise Science, Curtin University, Bentley, Western Australia, Australia.

Aim: To confirm that pubic apophysitis is common in Australian Rules footballers with groin pain.

Materials And Methods: Thirteen male Australian Football League (AFL) players with groin pain were assessed with volumetric interpolated breath-hold examination (VIBE) MRI over the 2017, 2018, and 2019 AFL seasons. Images were reviewed for pubic maturation, the presence of pubic apophysitis, and associated bone pathology and correlated with side of groin pain. Read More

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http://dx.doi.org/10.1016/j.crad.2019.12.022DOI Listing

Chronic pelvic sepsis with pubic bone osteitis treated with double graciloplasty.

Tech Coloproctol 2020 02 14;24(2):211. Epub 2020 Jan 14.

Department of Digestive, Oncological, Endocrine, and Hepatic Surgery, and Hepatic Transplantation, Trousseau Hospital, CHRU Trouseau, Tours, France.

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http://dx.doi.org/10.1007/s10151-019-02109-4DOI Listing
February 2020

Active inflammatory changes around the pubic symphysis in patients with axial spondyloarthritis: Magnetic resonance imaging characteristics and association with clinical factors.

Eur J Radiol 2020 Mar 25;124:108802. Epub 2019 Dec 25.

Department of Radiology, Seoul National Univ. Bundang Hospital, 82, Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, South Korea. Electronic address:

Purpose: To determine the prevalence of active inflammatory changes around the pubic symphysis on MRI scans in patients with axial spondyloarthritis, and to evaluate its association with clinical factors.

Method: A retrospective analysis of MRI scans of 128 patients clinically diagnosed with axial spondyloarthritis was performed to assess the presence of active inflammatory changes around the pubic symphysis (bone marrow edema/osteitis and enthesitis). The clinical factors of the patients with and without active inflammatory changes around the pubic symphysis were compared. Read More

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http://dx.doi.org/10.1016/j.ejrad.2019.108802DOI Listing

Joint Space Injection for Osteitis Pubis in an Airborne Jump Injury: A Case Report.

Mil Med 2019 Dec 20. Epub 2019 Dec 20.

Department of Emergency Medicine, Madigan Army Medical Center, 9040A Jackson Ave, Joint Base Lewis-McChord, WA 98431.

Osteitis Pubis (OP) is groin pain caused by overloading stresses on the pubic symphysis. This is often caused by the repetitive stress seen in competitive sports, but can also be caused by rapid acceleration or deceleration. It is a diagnosis of exclusion made after other entities such as fracture or infection are ruled out. Read More

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http://dx.doi.org/10.1093/milmed/usz377DOI Listing
December 2019

Association between cam-type femoroacetabular impingement and osteitis pubis in non-athletic population on magnetic resonance imaging.

J Orthop Surg Res 2019 Oct 22;14(1):329. Epub 2019 Oct 22.

Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Istanbul Medipol University, TEM Avrupa Otoyolu Goztepe Cikisi, No 1, Bagcilar, 34214, Istanbul, Turkey.

Background: Osteitis pubis (OP) is a common source of groin and extra-articular hip pain and is associated with intra-articular hip pathology. In this study, we aimed to determine the prevalence of osteitis pubis on magnetic resonance imaging (MRI) in non-athletic patients with cam-type femoroacetabular impingement (FAI).

Methods: This retrospective cross-sectional study included 178 subjects: 90 patients with cam-type FAI diagnosed by MRI and 88 subjects used as a control group. Read More

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http://dx.doi.org/10.1186/s13018-019-1368-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805621PMC
October 2019
1 Read

Radiographic Prevalence of Symphysis Pubis Abnormalities and Clinical Outcomes in Patients With Femoroacetabular Impingement Syndrome.

Am J Sports Med 2019 05 17;47(6):1467-1472. Epub 2019 Apr 17.

Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA.

Background: The decreased hip range of motion seen in femoroacetabular impingement syndrome (FAIS) may lead to compensatory increased motion at the symphysis pubis (SP) with resultant increased stress on the joint, which can subsequently lead to osteitis pubis.

Purpose: To quantify the prevalence of SP abnormalities in patients with FAIS through the use of imaging modalities and to compare outcomes based on the presence of SP abnormalities.

Study Design: Cohort study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/0363546519837203DOI Listing
May 2019
12 Reads

Osteomyelitis Pubis Treated with Wedge Resection: A Case Report with 26-Year Follow-up and Literature Review.

S D Med 2018 Dec;71(12):538-545

Sanford Orthopedics and Sports Medicine, Sioux Falls, South Dakota.

Osteomyelitis pubis is a rare orthopedic infection, accounting for less than 1-2 percent of all hematogenous osteomyelitis. Osteomyelitis pubis generally affects children, elderly patients who have undergone genitourinary procedures, and parenteral drug users. Interestingly, cases of acute osteomyelitis pubis have also been documented in previously young, healthy athletes. Read More

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December 2018
15 Reads

Complex Female Pelvic Pain: A Case Series From a Multidisciplinary Clinic in Urogynecology and Physiatry.

Female Pelvic Med Reconstr Surg 2019 Mar/Apr;25(2):e34-e39

Department of Physical Therapy, and.

Objective: The internal pelvic floor muscles that support the pelvic viscera lie within the external pelvic structures, which support posture and locomotion. The presence of pain in the hip, groin, leg, abdomen, and/or back in patients with pelvic pain suggests that external pelvic sites may act as pain generators that contribute to chronic pelvic pain (CPP). The aim of this study was to report musculoskeletal diagnoses resulting from including a physiatry evaluation as part of a Multidisciplinary Pelvic Pain Clinic for women with complex chronic pain. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000662DOI Listing
June 2019
15 Reads

Hip Arthroscopic Management Can Improve Osteitis Pubis and Bone Marrow Edema in Competitive Soccer Players With Femoroacetabular Impingement.

Am J Sports Med 2019 02 21;47(2):408-419. Epub 2019 Jan 21.

Department of Orthopaedic Surgery and Sports Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Kitakyushu, Japan.

Background: There is a dearth of knowledge regarding the correlation between femoroacetabular impingement (FAI) and osteitis pubis (OP) among symptomatic soccer players.

Purpose: To elucidate whether arthroscopic FAI correction is effective for young competitive soccer players with FAI combined with OP or perisymphyseal pubic bone marrow edema (BME).

Study Design: Case series; Level of evidence, 4. Read More

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http://journals.sagepub.com/doi/10.1177/0363546518819099
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http://dx.doi.org/10.1177/0363546518819099DOI Listing
February 2019
13 Reads

Management of osteitis pubis in athletes: rehabilitation and return to training - a review of the most recent literature.

Open Access J Sports Med 2019 24;10:1-10. Epub 2018 Dec 24.

Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno, Italy.

Osteitis pubis is a common cause of chronic groin pain, especially in athletes. Although a precise etiology is not defined, it seems to be related to muscular imbalance and pelvic instability. Diagnosis is based on detailed history, clinical evaluation, and imaging, which are crucial for a correct diagnosis and proper management. Read More

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https://www.dovepress.com/management-of-osteitis-pubis-in-at
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http://dx.doi.org/10.2147/OAJSM.S155077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307487PMC
December 2018
30 Reads

[Osteitis pubis or symphysitis pubis].

Authors:
F Gaudino M-A Weber

Radiologe 2019 Mar;59(3):218-223

Institut für Diagnostische und Interventionelle Radiologie, Kinder- und Neuroradiologie, Universitätsklinikum, Schillingallee 35, Rostock, 18057, Deutschland.

Clinical/methodical Issue: Osteitis pubis is one of the most common causes of chronic groin pain in many professional athletes. Symphysitis pubis with instability of the joint due to softening of the joint capsule and muscular imbalance of the corresponding muscles increases the instability of the sympyseal region, thus, resulting in a vicious cycle.

Standard Radiological Methods: Magnetic resonance imaging (MRI). Read More

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http://link.springer.com/10.1007/s00117-018-0472-7
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http://dx.doi.org/10.1007/s00117-018-0472-7DOI Listing
March 2019
58 Reads

Case report: Osteitis/osteomyelitis pubis simulating acute appendicitis.

Authors:
James G Glasser

Int J Surg Case Rep 2018 2;53:269-272. Epub 2018 Nov 2.

Janet Weis Children's Hospital, Geisinger Medical Center, 100N. Academy Ave., Danville, PA 17822, United States. Electronic address:

There is a continuum between Athletic (Sports) Hernia, Osteitis Pubis, and Osteomyelitis Pubis. The pubis is the site of attachment of many "core" muscles. A lay term used to describe a hernia is "rupture". Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240723PMC
November 2018
9 Reads

Articular and peri-articular hip lesions in soccer players. The importance of imaging in deciding which lesions will need surgery and which can be treated conservatively?

Eur J Radiol 2018 Aug 20;105:227-238. Epub 2018 Jun 20.

Department of Diagnostic Imaging, "A.Cardarelli" Hospital, 80131 Naples, Italy. Electronic address:

Soccer is one of the most popular sports worldwide engaging millions of participants each year. During play, injuries occur rather frequently and most of them involve the hip joint and the surrounding structure. In professional athletes, injuries are often complex scenarios and in the case of misdiagnosis, patients' return to play is delayed or it may progress to a more serious injury with consequent damage for their career and for the soccer team. Read More

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http://dx.doi.org/10.1016/j.ejrad.2018.06.012DOI Listing
August 2018
43 Reads

Management of a nonathlete with a traumatic groin strain and osteitis pubis using manual therapy and therapeutic exercise: A case report.

Physiother Theory Pract 2020 Jun 6;36(6):753-760. Epub 2018 Jul 6.

Rush University Medical Center , Chicago, IL, USA.

Introduction: Without a definitive single pathoanatomical origin for groin pain, management is difficult. The purpose of this case report is to describe the differential diagnosis and management of an individual with a traumatic groin strain. : A 47-year-old sedentary male truck driver presented to physical therapy with a 2-month history of right medial groin pain. Read More

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http://dx.doi.org/10.1080/09593985.2018.1492658DOI Listing
June 2020
57 Reads

Patency and Incontinence Rates After Robotic Bladder Neck Reconstruction for Vesicourethral Anastomotic Stenosis and Recalcitrant Bladder Neck Contractures: The Trauma and Urologic Reconstructive Network of Surgeons Experience.

Urology 2018 Aug 16;118:227-233. Epub 2018 May 16.

Uropartners, Gurnee, IL.

Objective: To review a robotic approach to recalcitrant bladder neck obstruction and to assess success and incontinence rates.

Materials And Methods: Patients with a recalcitrant bladder neck contracture or vesicourethral anastomotic stenosis who underwent robotic bladder neck reconstruction (RBNR) were identified. We reviewed patient demographics, medical history, etiology, previous endoscopic management, cystoscopic and symptomatic outcomes, urinary continence, and complications. Read More

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http://dx.doi.org/10.1016/j.urology.2018.05.007DOI Listing
August 2018
28 Reads

Focal osteopenia of pubic parasymphyseal bone as an underlying cause of groin pain in sports: a new perspective.

BMJ Case Rep 2018 May 4;2018. Epub 2018 May 4.

London Hip Arthroscopy Centre at The Wellington Hospital and Fortius Clinic, London, UK.

Groin pain is a common problem in athletes. The diagnosis can be difficult because of the complexity of the groin anatomy, the numerous clinical entities presenting with similar symptoms, the concurrence of those entities and the confusing terminology. Thus, a dilemma in diagnosis may arise leading to long-standing symptoms, disabling groin pain, mismanagement and therefore to poor treatment. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2017-22369
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http://dx.doi.org/10.1136/bcr-2017-223698DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5935169PMC
May 2018
52 Reads

[What do we know about osteitis pubis in athletes?]

Sportverletz Sportschaden 2018 02 8. Epub 2018 Feb 8.

Background: Osteitis pubis is a common cause of chronic groin pain. Due to high clinical uncertainty and varying etiopathology, the diagnosis is often delayed. Especially athletes suffer from this disease, but patients with orthopaedic, traumatological, neurological, urological, gynaecological, and rheumatic complaints can also be affected. Read More

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http://dx.doi.org/10.1055/s-0043-122763DOI Listing
February 2018
11 Reads

Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture.

Arthrosc Tech 2018 Jan 11;7(1):e23-e27. Epub 2017 Dec 11.

Burke and Bradley Orthopedics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.

Patients with pubic symphysis instability who had failed nonoperative treatments may benefit from surgical repair. This disease process is rare, most commonly seen in postpartum women and athletes, and its surgical treatment is invasive and nonphysiological. Currently described surgical interventions, although limited, include plating, which provides an overly rigid construct with the risk of failure and possibly poor long-term outcomes particularly in athletes, and treatments such as curettage, more commonly used in the treatment of osteitis pubis. Read More

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http://dx.doi.org/10.1016/j.eats.2017.08.045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786148PMC
January 2018
20 Reads

Does inside passing contribute to the high incidence of groin injuries in soccer? A biomechanical analysis.

J Sports Sci 2018 Aug 15;36(16):1827-1835. Epub 2018 Jan 15.

a Institute of Biomechanics and Orthopedics , German Sport University Cologne , Cologne , Germany.

Groin injuries are common in soccer and often cause time-loss from training. While groin injuries have been linked to full effort kicking, the role of inside passing is unclear. Therefore, the purpose of this study was to investigate hip joint kinematics and muscle force, stress and contraction velocity for adductor longus and gracilis during inside passing. Read More

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http://dx.doi.org/10.1080/02640414.2017.1423193DOI Listing
August 2018
27 Reads

Hip and Groin Injuries in Baseball Players.

Curr Rev Musculoskelet Med 2018 Mar;11(1):19-25

Sports Medicine and Hip Preservation, Hospital for Special Surgery, New York, NY, USA.

Purpose Of Review: To discuss the clinical significance of the most common hip and groin injuries in baseball players, as well as an algorithmic approach to diagnosis and treatment of these injuries.

Recent Findings: (a) Limitations in throwing velocity, pitch control, and bat swing speed may be secondary to decreased mobility and strength within the proximal kinetic chain, which must harness power from the lower extremities and core. (b) Approximately 5. Read More

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http://dx.doi.org/10.1007/s12178-018-9455-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825336PMC
March 2018
17 Reads

Osteitis pubis: A rare cause of suprapubic pain.

Rev Urol 2017 ;19(3):156-163

Department of Urology, George Washington UniversityWashington, DC.

Osteitis pubis is a noninfectious inflammatory condition affecting the pubic symphysis. First described in a series of patients undergoing urologic procedures, it is an uncommon cause of lower abdominal and suprapubic pain. However, this condition can cause significant morbidity in patients affected, often requiring lengthy recovery periods. Read More

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http://dx.doi.org/10.3909/riu0767DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5737342PMC
January 2017
11 Reads

High-intensity Focused Ultrasound (HIFU) as salvage therapy for radio-recurrent prostate cancer: predictors of disease response.

Int Braz J Urol 2018 Mar-Apr;44(2):248-257

Division of Urology, McMaster University, Hamilton, ON, Canada.

Background: Some men with localized radio-recurrent prostate cancer may benefit from salvage high-intensity focused ultrasound (HIFU). Herein, we describe oncologic outcomes and predictors of disease response after salvage whole gland HIFU from our prospective cohort.

Materials And Methods: Patients with localized radio-recurrent prostate cancer were prospectively enrolled from January 2005 to December 2014. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050568PMC
May 2018
21 Reads

Correlation Between Femoroacetabular Impingement and Hamstring Tendon Pathology on Magnetic Resonance Imaging and Arthrography.

Orthopedics 2017 Nov;40(6):e1086-e1091

Femoroacetabular impingement (FAI) is an abnormality of the femoral head or acetabulum that leads to an increased incidence of cartilaginous injury in the hip. Femoroacetabular impingement has been associated with several structural abnormalities, including osteitis pubis and hip flexor dysfunction. The authors propose that, additionally, FAI may lead to increased damage of the hamstring tendon due to the additional stress placed on the tendon from the limited range of motion of the hip. Read More

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http://dx.doi.org/10.3928/01477447-20171020-04DOI Listing
November 2017
22 Reads

Osteitis pubis in professional football players: MRI findings and correlation with clinical outcome.

Eur J Radiol 2017 Sep 19;94:46-52. Epub 2017 Jul 19.

Department of Diagnostic and Interventional Radiology, University Hospital of Heidelberg, Im Neuenheimer Feld, 110, 69120 Heidelberg, Germany; Institute of Diagnostic and Interventional Radiology, Rostock University Medical Center, Schillingallee, 35, 18057 Rostock, Germany.

Background And Purpose: Osteitis pubis (OP), a common pathology in elite athletes, is an aseptic inflammatory process of the pubic symphysis bone, and may involve surrounding soft tissues, tendons and muscles. OP is typically characterized by (often recurring) groin pain and is an important cause of time-off from sports activity in athletes. Aim of this retrospective study was to analyze magnetic resonance imaging (MRI) findings in professional football players with clinical diagnosis of OP and to correlate MRI findings with clinical outcome. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X173029
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http://dx.doi.org/10.1016/j.ejrad.2017.07.009DOI Listing
September 2017
68 Reads

Athletic Pubalgia in Females: Predictive Value of MRI in Outcomes of Endoscopic Surgery.

Orthop J Sports Med 2017 Aug 3;5(8):2325967117720171. Epub 2017 Aug 3.

Department of Surgery, Kuopio University Hospital, Kuopio, Finland.

Background: Athletic pubalgia is typically associated with male athletes participating in contact sports and less frequently with females. Endoscopic surgery may fully treat the patient with athletic pubalgia.

Purpose: To perform an outcomes analysis of magnetic resonance imaging (MRI) and endoscopic surgery in female patients with athletic pubalgia. Read More

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http://dx.doi.org/10.1177/2325967117720171DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5546653PMC
August 2017
15 Reads

Nonoperative Management, Rehabilitation, and Functional and Clinical Progression of Osteitis Pubis/Pubic Bone Stress in Professional Soccer Players: A Case Series.

J Orthop Sports Phys Ther 2017 Sep 3;47(9):683-690. Epub 2017 Aug 3.

Study Design Case series. Background Pubic bone stress (PBS) is a common acute or chronic response of the pelvis in sports where sprinting, kicking, twisting, and cutting are the dominant movements. There are few nonoperative rehabilitation strategies for the condition reported in the literature, and the outcome of conservative treatment has not been documented. Read More

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http://dx.doi.org/10.2519/jospt.2017.7314DOI Listing
September 2017
27 Reads

Inguinal Hernia in Athletes: Role of Dynamic Ultrasound.

Sports Health 2017 Sep/Oct;9(5):414-421. Epub 2017 Jul 21.

Department of Radiology, Henry Ford Hospital, Detroit, Michigan.

Background: Inguinal hernia is a commonly encountered cause of pain in athletes. Because of the anatomic complexity, lack of standard imaging, and the dynamic condition, there is no unified opinion explaining its underlying pathology.

Hypothesis: Athletes with persistent groin pain would have a high prevalence of inguinal hernia with dynamic ultrasound, and herniorrhaphy would successfully return athletes to activity. Read More

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http://dx.doi.org/10.1177/1941738117717009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582701PMC
September 2017
35 Reads

High Intensity Focused Ultrasound for Radiorecurrent Prostate Cancer: A North American Clinical Trial.

J Urol 2018 01 23;199(1):133-139. Epub 2017 Jun 23.

Department of Urology, David Geffen School of Medicine at University of California-Los Angeles, Los Angeles, California. Electronic address:

Purpose: We determined the safety and efficacy of whole gland high intensity focused ultrasound in men with radiorecurrent prostate cancer.

Materials And Methods: A total of 100 men with clinically localized recurrent prostate cancer at least 2 years after external beam radiation therapy underwent whole gland high intensity focused ultrasound in an open label trial from 2009 to 2012. Treatments were performed at 16 sites, including 14 in the United States and 2 in Canada. Read More

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http://dx.doi.org/10.1016/j.juro.2017.06.078DOI Listing
January 2018
73 Reads

Sports-Related Groin Pain Secondary to Symphysis Pubis Disorders: Correlation Between MRI Findings and Outcome After Fluoroscopy-Guided Injection of Steroid and Local Anesthetic.

AJR Am J Roentgenol 2017 Aug 13;209(2):380-388. Epub 2017 Jun 13.

1 Department of Radiology, Cappagh National Orthopaedic Hospital, Cappagh Rd, Finglas W, Dublin 11, Ireland.

Objective: The objective of our study was to correlate patterns of injury on preprocedural MRI with outcome after targeted fluoroscopy-guided steroid and local anesthetic injection of the symphysis pubis and its muscular attachments in a group of athletes with chronic groin pain.

Materials And Methods: Forty-five patients with chronic sports-related groin pain underwent MRI of the pelvis and a targeted fluoroscopy-guided symphyseal corticosteroid and local anesthetic injection. Preprocedural MRI was reviewed. Read More

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http://dx.doi.org/10.2214/AJR.16.17578DOI Listing
August 2017
28 Reads

Chronic Anterior Pelvic Instability: Diagnosis and Management.

J Am Acad Orthop Surg 2017 Jul;25(7):509-517

From the Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Northwestern Memorial Hospital, Chicago, IL (Dr. Stover and Dr. Edelstein) and the Hip and Pelvis Institute, St. John's Health Center, Santa Monica, CA (Dr. Matta).

Chronic anterior pelvic ring instability can cause pain and disability. Pain typically is localized to the suprapubic area or inner thigh; often is associated with lower back or buttock pain; and may be exacerbated by activity, direct impact, or pelvic ring compression. Known etiologies of chronic anterior pelvic ring instability include pregnancy, parturition, trauma, insufficiency fractures, athletics, prior surgery, and osteitis pubis. Read More

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http://dx.doi.org/10.5435/JAAOS-D-15-00338DOI Listing
July 2017
77 Reads

Recurrent symphysitis culminating in pelvic ring fracture after hyperextended transurethral prostate resection and vaporization with symphysis erosion: a case report.

J Med Case Rep 2017 May 19;11(1):141. Epub 2017 May 19.

School of Medicine and Health Sciences, University Hospital for Urology, Klinikum Oldenburg, Carl von Ossietzky University Oldenburg, Rahel-Straus-Straße 10, 26133, Oldenburg, Germany.

Background: Short-term and long-term complications of transurethral prostate resection can be different in nature. Capsule perforation and subsequent fistulation after resection and electrovaporization is seldom reported in the literature.

Case Presentation: Here we report the case of a 79-year-old caucasian man with capsule perforation after transurethral prostate resection and electrovaporization resulting in a severe and recurrent symphysitis and subsequent pelvic ring fracture. Read More

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http://dx.doi.org/10.1186/s13256-017-1292-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437573PMC
May 2017
22 Reads

Endoscopic Rectus Abdominis and Prepubic Aponeurosis Repairs for Treatment of Athletic Pubalgia.

Arthrosc Tech 2017 Feb 13;6(1):e183-e188. Epub 2017 Feb 13.

Mink Radiology, Marina del Rey, California, U.S.A.

Review of the English orthopaedic literature reveals no prior report of endoscopic repair of rectus abdominis tears and/or prepubic aponeurosis detachment. This technical report describes endoscopic reattachment of an avulsed prepubic aponeurosis and endoscopic repair of a vertical rectus abdominis tear immediately after endoscopic pubic symphysectomy for coexistent recalcitrant osteitis pubis as a single-stage outpatient surgery. Endoscopic rectus abdominis repair and prepubic aponeurosis repair are feasible surgeries that complement endoscopic pubic symphysectomy for patients with concurrent osteitis pubis and expand the less invasive options for patients with athletic pubalgia. Read More

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http://dx.doi.org/10.1016/j.eats.2016.09.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5382253PMC
February 2017
103 Reads

Focal salvage high-intensity focused ultrasound in radiorecurrent prostate cancer.

BJU Int 2017 08 3;120(2):246-256. Epub 2017 Apr 3.

Division of Surgery and Interventional Science, University College London, London, UK.

Objective: To assess short- to medium-term cancer control rates and side effects of focal salvage high- intensity focused ultrasound (HIFU).

Materials And Methods: A retrospective registry analysis identified 150 men who underwent focal salvage HIFU (FS-HIFU) (Sonablate 500) between November 2006 and August 2015. Metastatic disease was excluded by nodal assessment on the pelvic MRI, a radioisotope bone scan and positron-emission tomography (PET) imaging (choline-18F-fluorodeoxyglucose PET or choline PET-CT). Read More

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http://doi.wiley.com/10.1111/bju.13831
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http://dx.doi.org/10.1111/bju.13831DOI Listing
August 2017
58 Reads

Athletic Hip Injuries.

J Am Acad Orthop Surg 2017 Apr;25(4):269-279

From Columbia Orthopaedics, the Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, New York, NY (Dr. Lynch), the Department of Orthopaedic Surgery, MedSport, University of Michigan Medical School, Ann Arbor, MI (Dr. Bedi), and the Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, Edina, MN (Dr. Larson).

Historically, athletic hip injuries have garnered little attention; however, these injuries account for approximately 6% of all sports injuries and their prevalence is increasing. At times, the diagnosis and management of hip injuries can be challenging and elusive for the team physician. Hip injuries are seen in high-level athletes who participate in cutting and pivoting sports that require rapid acceleration and deceleration. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00171DOI Listing
April 2017
17 Reads

Mastering the Physical Examination of the Athlete's Hip.

Am J Orthop (Belle Mead NJ) 2017 Jan/Feb;46(1):10-16

Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY.

In this review, we describe precise methods for evaluating the athlete's hip or groin with an emphasis on recognizing the most common extra-articular and intra-articular pathologies, including adductor strains, athletic pubalgia, osteitis pubis, and femoroacetabular impingement with labral tears. Read More

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March 2017
35 Reads

Evaluation of Diffusion-weighted MR Imaging as a Technique for Detecting Bone Marrow Edema in Patients with Osteitis Pubis.

Magn Reson Med Sci 2017 Oct 13;16(4):317-324. Epub 2017 Feb 13.

Department of Radiology, Antalya Training and Research Hospital.

Purpose: Our aims were to determine the feasibility of diffusion-weighted magnetic resonance imaging (DWI) in the detection of bone marrow edema (BME) and explore the apparent diffusion coefficient (ADC) alterations in patients with osteitis pubis (OP).

Materials And Methods: 42 consecutive patients clinically suspected to have athletic pubalgia and 31 control subjects were enrolled in the study. All subjects underwent diagnostic focused magnetic resonance imaging (MRI) and DWI at b values of 0 and 600 s/mm. Read More

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http://dx.doi.org/10.2463/mrms.mp.2016-0104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5743523PMC
October 2017
33 Reads

Non-surgical treatment of pubic overload and groin pain in amateur football players: a prospective double-blinded randomised controlled study.

Knee Surg Sports Traumatol Arthrosc 2017 Jun 16;25(6):1958-1966. Epub 2017 Jan 16.

Clinic of Trauma Surgery, University Medical Centre Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.

Purpose: The incidence of groin pain in athletes is steadily increasing. Symptomatic pubic overload with groin pain and aseptic osteitis pubis represent well-known and frequently misdiagnosed overuse injuries in athletes. This study investigated the benefits of standardised non-surgical treatment for swift return-to-football. Read More

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http://dx.doi.org/10.1007/s00167-017-4423-zDOI Listing
June 2017
47 Reads

The use of platelet-rich plasma to augment conservative and surgical treatment of hip and pelvic disorders.

Muscles Ligaments Tendons J 2016 Jul-Sep;6(3):410-419. Epub 2016 Dec 21.

Hip Preservation/Sports Medicine/Orthopedics University of Colorado.

Background: In recent years, platelet-rich plasma (PRP) has gained popularity within the orthopaedic community as a treatment modality to enhance tissue healing.

Purpose: This review aims to concisely present the current indications for PRP injections in the treatment of hip and pelvic pathologies and to describe some novel applications for PRP which have not yet been reported in the literature.

Methods: We reviewed the literature on the non-operative and operative indications for PRP in the treatment of hip and pelvic pathologies. Read More

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http://dx.doi.org/10.11138/mltj/2016.6.3.410DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193533PMC
December 2016
36 Reads

[Infectious Inflammation of Pubic Symphysis (Symphysitis Pubis Purulenta): Five Case Reports and Literature View].

Acta Chir Orthop Traumatol Cech 2016 ;83(6):411-417

Ortopedicko-traumatologická klinika 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.

Purulent inflammation of the pubic symphysis is a rare condition involving the symphysis and parasymphyseal parts of the pubic bones. It is usually found in immuno-compromised patients and its most frequent cause is Staphylococcus aureus. Conservative treatment is based on long-term administration of antibiotics and has been efficient, as reported, in about 50% of the patients. Read More

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February 2017
21 Reads

The Effectiveness of Nonoperative Rehabilitation Programs for Athletes Diagnosed With Osteitis Pubis.

J Sport Rehabil 2016 Dec 24;25(4):399-403. Epub 2016 Aug 24.

Clinical Scenario: The differential diagnosis of groin pain can be very challenging due to the many causative pathologies. Osteitis pubis is a pathology that is becoming more recognized in athletes who participate in sports such as soccer, ice hockey, rugby, and football. Conservative nonoperative treatment is often prescribed first before surgical intervention. Read More

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http://dx.doi.org/10.1123/jsr.2015-0016DOI Listing
December 2016
48 Reads

A case of monostotic Paget's disease.

J Postgrad Med 2016 Jul-Sep;62(3):211-2

Department of Surgical Oncology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.

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http://dx.doi.org/10.4103/0022-3859.186396DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970354PMC
December 2016
17 Reads

Groin Injuries (Athletic Pubalgia) and Return to Play.

Sports Health 2016 Jul 14;8(4):313-23. Epub 2016 Jun 14.

Orthopaedic Sports Medicine, University of Massachusetts, Worcester, Massachusetts

Context: Groin pain is a common entity in athletes involved in sports that require acute cutting, pivoting, or kicking such as soccer and ice hockey. Athletic pubalgia is increasingly recognized as a common cause of chronic groin and adductor pain in athletes. It is considered an overuse injury predisposing to disruption of the rectus tendon insertion to the pubis and weakness of the posterior inguinal wall without a clinically detectable hernia. Read More

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http://dx.doi.org/10.1177/1941738116653711DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4922526PMC
July 2016
52 Reads

Parturition pit: the bony imprint of vaginal birth.

Skeletal Radiol 2016 Sep 7;45(9):1263-7. Epub 2016 Jun 7.

Department of Diagnostic Radiology, Musculoskeletal Imaging, The University of Alabama at Birmingham, 619 19th Street South, JTN 304, Birmingham, AL, 35249-6830, USA.

Purpose: To retrospectively evaluate for pits along the dorsum of the pubic body in females and compare the presence/absence of these pits to vaginal birth data.

Materials And Methods: We retrospectively reviewed females with vaginal birth data who underwent pelvic CT. The presence of pits along the dorsum of the pubic body, pit grade (0 = not present; 1 = faintly imperceptible; 2 = present; 3 = prominent), and the presence of osteitis condensans ilii, preauricular sulcus, and sacroiliac joint vacuum phenomenon were assessed on imaging. Read More

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http://dx.doi.org/10.1007/s00256-016-2418-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533505PMC
September 2016
16 Reads