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

Jens Kelm, Oliver Ludwig, Jan André

    Sportverletzung Sportschaden : Organ Der Gesellschaft Fur Orthopadisch-Traumatologische Sportmedizin
    |February 9, 2018
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    Summary

    Osteitis pubis, a common cause of groin pain, often has delayed diagnosis due to clinical uncertainty. Treatment typically begins conservatively, with surgery considered only if conservative methods fail.

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    Area of Science:

    • Orthopedics and Sports Medicine
    • Pain Management
    • Medical Diagnostics

    Context:

    • Osteitis pubis is a frequent cause of chronic groin pain, particularly affecting athletes.
    • Diagnosis is often delayed due to unclear causes and varied symptoms.
    • It impacts patients with diverse medical complaints beyond sports injuries.

    Purpose:

    • To review the current literature on osteitis pubis diagnosis and treatment.
    • To highlight the challenges in diagnosis and the current treatment approaches.
    • To assess the evidence base for managing this condition.

    Summary:

    • Osteitis pubis presents with aching of the symphysis pubica, lacking pathognomonic signs, necessitating diagnosis by exclusion.
    • Current diagnostic methods involve medical history, clinical examination, and imaging, often after ruling out conditions like sports hernia.
    • The condition is frequently self-limiting with rest and conservative treatment, but surgery may be required if conservative measures are ineffective.

    Impact:

    • The low level of evidence and heterogeneity of studies hinder definitive guidelines and meta-analysis.
    • There's a consensus that surgical intervention for osteitis pubis should be a last resort after failed conservative treatment.
    • The limited data on athletes and socio-economic impact, especially in professional sports, warrants further research.