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

Area of Science:

• Sports Medicine
• Regenerative Medicine
• Musculoskeletal Imaging

Background:

• Osteitis pubis is a frequent cause of groin pain in athletes involved in sports with kicking, twisting, or pivoting.
• Symptoms include progressive pubic or groin pain, point tenderness over the pubic symphysis, and pain radiating to adductor or rectus abdominis tendons.
• Conservative treatments like activity modification, medication, rehabilitation, and injections are common but can be refractory.

Observation:

• This case involves isolated osteitis pubis, distinct from cases involving the rectus abdominis or adductor tendons.
• The patient experienced persistent groin pain refractory to conservative management.

Findings:

• An ultrasound-guided platelet-rich plasma (PRP) injection targeting the fibrocartilage of the pubic symphysis was administered.
• This treatment successfully resolved the isolated osteitis pubis, allowing the athlete to return to sport.

Implications:

• Ultrasound-guided PRP injections represent a promising therapeutic option for isolated osteitis pubis.
• This approach may offer an effective alternative for athletes with refractory groin pain, potentially reducing prolonged recovery times.
• Further research into PRP efficacy for specific osteitis pubis presentations is warranted.