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Related Experiment Videos

Traumatic osteitis pubis: the gracilis syndrome.

J J Wiley

    The American Journal of Sports Medicine
    |September 1, 1983
    PubMed
    Summary

    Gracilis syndrome, a fatigue fracture at the pubic symphysis, is an underreported injury in North American athletes. Surgical excision of the bony fragment effectively relieved symptoms in a young male athlete.

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    Area of Science:

    • Sports Medicine
    • Orthopedic Surgery
    • Traumatology

    Background:

    • The gracilis syndrome, a fatigue fracture at the gracilis muscle's bony origin, is recognized in European athletes but less so in North America.
    • It shares similarities with traumatic osteitis pubis and adductor longus avulsion injuries.

    Observation:

    • A 23-year-old male athlete presented with a 2-year history of gradual-onset groin, perineal, and medial thigh pain.
    • Pain was associated with participation in contact sports, with localized tenderness over the pubic symphysis being the primary examination finding.
    • Radiography revealed a bony fragment at the inferior corner of the left pubic symphysis.

    Findings:

    • Surgical excision of the bony fragment resolved the athlete's symptoms.
    • Histopathology confirmed an avulsion-type fatigue fracture, with fibrous tissue embedding viable and nonviable bony trabeculae.
    • The findings suggest the gracilis muscle's pull caused the avulsion fracture.

    Implications:

    • This case highlights the gracilis syndrome as a cause of chronic groin pain in athletes.
    • Increased awareness and recognition of this condition are needed, particularly in North America.
    • Surgical intervention can be an effective treatment for symptomatic gracilis syndrome.

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