519 results match your criteria Osteitis Pubis

The use of extracorporeal shock wave therapy for the treatment of bone marrow oedema - a systematic review and meta-analysis.

J Orthop Surg Res 2021 Jun 9;16(1):369. Epub 2021 Jun 9.

LANS Medicum Hamburg - Center for Sports and Regenerative Medicine, Stephansplatz 5, 20354, Hamburg, Germany.

Background: Extracorporeal shock wave therapy (ESWT) has been used for various pathologies associated with bone marrow oedema (BME). However, it is still not clear whether ESWT may be favourable in the treatment of BME. Therefore, the aim of this systematic review was to assess the efficacy of ESWT for the treatment of BME. Read More

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Endourological management of osteitis pubis secondary to a calcified prostate ossifying into the pubic symphysis.

BMJ Case Rep 2021 May 20;14(5). Epub 2021 May 20.

Urology, University of Miami Miller School of Medicine, Miami, Florida, USA

Osteitis pubis is a rare but known complication of multiple urological procedures including transurethral resection of the prostate, prostate cryotherapy, photovaporisation of the prostate, high-intensity focused ultrasound treatment of the prostate, prostatectomy and cystectomy, especially in the context of salvage therapy for prostate cancer. Patients can present with significant often intractable pain secondary to this condition. We report a case of a patient with a history of radiation therapy and salvage cryoablation who presented with osteitis pubis, calcification of the prostatic tissue bed which was inseparable from the pubic symphysis. Read More

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Osteitis Pubis Treated With Platelet-Rich Plasma: A Case Report.

Clin J Sport Med 2020 Sep 22. Epub 2020 Sep 22.

*Physical Medicine & Rehabilitation Resident at Tufts Medical Center, Boston, Massachusetts; and †Tufts University School of Medicine, Boston, Massachusetts.

Osteitis pubis is a common source of groin pain in athletes participating in sports requiring kicking, twisting, and pivoting movements. Athletes will present with progressive pain or discomfort in the pubic area or groin. There is usually point tenderness over the pubic symphysis and pain localizing to the adductor or rectus abdominis tendons. Read More

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September 2020

Adult female patient with osteitis pubis and pelvic instability requiring surgery: A case report.

Trauma Case Rep 2020 Dec 21;30:100357. Epub 2020 Oct 21.

Hadassah Medical Center of the Hebrew University, Kiryat Hadassah, POB 12000, Jerusalem 91120, Israel.

Background: Osteitis pubis (OP) is an inflammatory condition of the symphysis pubis (SP) characterized by focal pain and local tenderness. Pelvic instability (PI) is commonly associated with this condition. It is still not clear if OP leads to PI or it is PI that leads to OP. Read More

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December 2020

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

Phys Sportsmed 2020 11 26;48(4):378-384. 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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November 2020

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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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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November 2020

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

E Koh J Boyle

Clin Radiol 2020 04 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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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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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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Joint Space Injection for Osteitis Pubis in an Airborne Jump Injury: A Case Report.

Mil Med 2020 08;185(7-8):e1298-e1299

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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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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October 2019

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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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

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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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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February 2019

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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December 2018

[Osteitis pubis or symphysitis pubis].

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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Case report: Osteitis/osteomyelitis pubis simulating acute appendicitis.

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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November 2018

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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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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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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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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[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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February 2018

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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January 2018

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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