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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy

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Osteitis pubis in athletes.

Tricia Beatty¹

¹Rothman Institute, Wynnewood, PA 19096, USA. tricia.beatty@yahoo.com

Current Sports Medicine Reports

|March 14, 2012

Summary

Osteitis pubis is a painful overuse injury affecting the pubic symphysis, common in athletes involved in sports requiring quick movements. Early diagnosis and varied treatments, including rest and rehabilitation, are crucial for athletes experiencing groin pain.

Area of Science:

Sports Medicine
Orthopedics
Rehabilitative Medicine

Background:

Osteitis pubis is a significant cause of groin pain in athletes.
It stems from overuse injury to the pubic symphysis and surrounding bone.
Athletes in sports with kicking, acceleration, deceleration, and directional changes are most susceptible.

Purpose of the Study:

To describe the etiology, presentation, and diagnostic considerations of osteitis pubis.
To outline the various treatment modalities for this condition.
To emphasize clinical suspicion in evaluating athletes with groin pain.

Main Methods:

Review of clinical presentations and diagnostic imaging.
Discussion of nonoperative and operative treatment strategies.

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Identification of high-risk sports and athlete profiles.

Main Results:

Osteitis pubis presents with anterior/medial groin pain, potentially radiating to lower abdomen, adductors, and perineum.
Imaging aids in differential diagnosis and confirming osteitis pubis.
Treatment encompasses rest, rehabilitation, pharmacotherapy, injections, and surgery.

Conclusions:

A high index of suspicion is warranted for athletes presenting with groin pain, particularly soccer, rugby, American football players, and distance runners.
Prompt diagnosis and appropriate management are essential to allow athletes to return to sport.
Osteitis pubis requires a comprehensive approach to treatment, addressing both the injury and the underlying biomechanical factors.