532 results match your criteria Osteitis Pubis

The prevalence and risk factors of pubic bone marrow edema in femoroacetabular impingement and hip dysplasia.

J Hip Preserv Surg 2021 Dec 9;8(4):318-324. Epub 2021 Nov 9.

Department of Orthopaedic Surgery and Sports Medicine, Wakamatsu Hospital of University of Occupational and Environmental Health, 1-17-1 Hamamachi, Wakamatsu-ku, Kitakyushu, Fukuoka 808-0024, Japan.

Femoroacetabular impingement syndrome (FAIS) has been associated with osteitis pubis; however, it is still unclear whether hip dysplasia is associated with osteitis pubis. This study aimed to investigate (i) the incidence of pubic bone marrow edema (BME) on magnetic resonance imaging in symptomatic patients with FAIS, borderline developmental dysplasia of the hip (BDDH) and developmental dysplasia of the hip (DDH) undergoing hip arthroscopic surgery with labral preservation and (ii) the demographic and radiographic factors associated with pubic BME. A total of 259 symptomatic patients undergoing hip arthroscopic surgery between July 2016 and April 2019 were retrospectively reviewed and divided into three groups: FAIS (180 patients), BDDH (29 patients) and DDH (50 patients). Read More

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December 2021

Osteitis Pubis in Athletes: A Literature Review of Current Surgical Treatment.

Cureus 2022 Mar 8;14(3):e22976. Epub 2022 Mar 8.

Orthopaedics and Traumatology, Patras University Hospital, Patras, GRC.

Osteitis pubis (OP) is a self-limiting, noninfectious inflammatory disease of the pubic symphysis and the surrounding soft tissues that usually improves with activity modification and targeted conservative treatment. Surgical treatment is required for a limited number of patients. This study aims to investigate the current literature on the surgical treatment of OP in athletes. Read More

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Athletic Osteitis Pubis Detected on 18F-FDG PET/CT.

Clin Nucl Med 2022 Apr 22. Epub 2022 Apr 22.

From the Department of Nuclear Medicine, Northwest Clinics, Alkmaar, the Netherlands.

Abstract: A 37-year-old male personal trainer presented with debilitating groin pains, fever, and night sweats. Enlarged inguinal lymph nodes were noticed during physical examination, and blood tests showed elevated erythrocyte sedimentation rate and C-reactive protein. 18F-FDG PET/CT excluded lymphoma and other malignancy but showed intense FDG uptake at the pubic symphysis and cortical erosions of the pubic bones on CT. Read More

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Acta Ortop Bras 2022 28;30(1):e244380. Epub 2022 Jan 28.

. Universidade Federal de São Paulo, Escola Paulista de Medicina (UNIFESP- EPM), Diagnostic Imaging Department (DDI), São Paulo, Brazil.

Introduction: Osteitis pubis is a common inflammatory disease of the pubic symphysis, defined as a chronic pain syndrome caused by repetitive microtrauma. Since adaptative changes are necessary in the pelvis to adjust the equilibrium of the myotendinous structures, the aim of this study was to evaluate the correlation between pelvic incidence and osteitis pubis among professional soccer players.

Materials And Methods: An observational, cross-sectional study was performed with professional soccer players from five teams during pre-season. Read More

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January 2022

Comparison of hip abductor and adductor muscle performance between healthy and osteitis pubis professional footballers.

Ir J Med Sci 2022 Apr 14. Epub 2022 Apr 14.

Hala Physical Therapy Center, Giza, Egypt.

Objective: The study aimed to compare the concentric and eccentric muscle performance of the hip abductor and adductor muscles at a high angular velocity in football players with osteitis pubis and healthy players.

Methods: A total number of 32 male football players with osteitis pubis and 20 healthy footballers were tested using an isokinetic dynamometer at a speed of 180°/s. Hip abductor and adductor peak torque/body weight, time to peak torque, acceleration, and deceleration times produced during concentric and eccentric muscle contraction modes were measured using a Biodex dynamometer. Read More

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Deficits in eccentric antagonist/concentric agonist strength ratios: a comparative study of football players with and without osteitis pubis.

Eur Rev Med Pharmacol Sci 2022 Mar;26(5):1559-1564

Department of Physical Therapy, College of Applied Medical Sciences, Majmaah University, Al-Majmaah, Saudi Arabia.

Objective: Dynamic hip stabilizers are essential for optimal performance in football players, particularly during kicking. Although the muscle strength deficits of hip muscles as an etiology of osteitis pubis (OP) in football players have not yet been well investigated, previous assessments give more attention to the concentric mode of strength for both hip flexor and extensor muscles. Functionally, the hip muscles interact in an eccentric/concentric pattern. Read More

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Ectopic bone formation causing chronic pubis symphysis pain: successful management with resection and pubic fusion.

BMJ Case Rep 2022 Mar 9;15(3). Epub 2022 Mar 9.

Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK

Chronic musculoskeletal anterior pelvic pain may originate from a variety of different sources making the diagnosis difficult. Ectopic bone formation on the pubic symphysis is extremely rare and may cause significant disability. Reported herein is the case of a very active patient with symphysis pubis ectopic bone formation causing disability for more than 10 years. Read More

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[Arthroscopically assisted minimally invasive symphysioplasty for the treatment of pubic related groin pain].

Oper Orthop Traumatol 2022 Apr 8;34(2):109-116. Epub 2021 Dec 8.

Grupo Quirónsalud, Einheit für Hüft und Becken Chirurgie, Universitätsklinikum Dexeus, Barcelona, Spanien.

Objective: Therapy of pubic related groin pain via minimally invasive symphysioplasty.

Indications: Therapy of refractory pubic related groin pain based on osteitis pubis.

Contraindications: Groin pain from causes other than pubic related groin pain. Read More

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Postpartum septic symphysitis, a rare condition with possible long-term consequences: a cohort study with long-term follow-up.

BMC Pregnancy Childbirth 2021 Nov 16;21(1):776. Epub 2021 Nov 16.

Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.

Background: Postpartum septic symphysitis (PPSS) is defined as acute onset of severe pain around the symphysis, restricted movement, fever, and elevated inflammatory parameters. It is a rare but serious condition requiring urgent diagnosis and treatment. The aim of this study was to describe the incidence, symptoms, diagnosis, treatment, and long-term follow-up of PPSS. Read More

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November 2021

Osteitis pubis following laparoscopic Burch colposuspension: A case report.

Case Rep Womens Health 2021 Oct 8;32:e00362. Epub 2021 Oct 8.

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Kelaniya, Sri Lanka.

Osteitis pubis is a condition which predominantly affects young athletes. However, it may also occur following uro-gynecological interventions. We report a case of osteitis pubis following laparoscopic Burch colposuspension. Read More

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October 2021

Acute Pyogenic Osteomyelitis of the Pubic Bone in a Patient with Systemic Lupus Erythematosus Mimicking Fracture of the Pubic Bone and Periprosthetic Joint Infection of the Hip.

Case Rep Orthop 2021 20;2021:6665938. Epub 2021 Jun 20.

Queen Elizabeth Hospital, Gateshead Health Foundation NHS Trust, Sheriff Hill, Gateshead NE9 6SX, UK.

Introduction: Pubic bone osteomyelitis is atypical, and the diagnosis is often overlooked. It may present as osteitis pubis, fracture, or noninfectious inflammation of the pubic symphysis. . Read More

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Hip and Groin Pain in Soccer Players.

Joints 2019 Dec 22;7(4):182-187. Epub 2021 Jun 22.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Trigoria, Rome, Italy.

 The aim of this article is to illustrate the recent framework necessary to standardize studies on groin pain and review the existing literature on groin pain in football.  The common pathological processes underlying groin pain such as muscle, tendon or ligament strain, bone injury or fracture, sport hernia, bursitis, osteitis pubis, and hip-related diseases have been reviewed and current management options have been considered.  Groin pain is considered a pain in pubic or lower abdominal or adductors region which can be monolateral or bilateral. Read More

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December 2019

Editorial Commentary: Managing Hip Pain, Athletic Pubalgia, Sports Hernia, Core Muscle Injury, and Inguinal Disruption Requires Diagnostic and Therapeutic Expertise.

Dean K Matsuda

Arthroscopy 2021 07;37(7):2391-2392

Marina del Rey, California.

Pubalgia means pubic pain. This is different from core muscle injury (implying muscular pathology) or inguinal disruption (different anatomic region). Athletic pubalgia includes a myriad of pathologic conditions involving the pubic symphysis, adductors, rectus abdominis, posterior inguinal wall, and/or related nerves. Read More

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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 2022 03;32(2):e172-e174

Tufts University School of Medicine, Boston, Massachusetts.

Abstract: 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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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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