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Related Experiment Videos

Osteitis pubis: a review

S S Lentz1

  • 1Department of Obstetrics and Gynecology, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC 27157, USA.

Obstetrical & Gynecological Survey
|April 1, 1995
PubMed
Summary
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Osteitis pubis is a painful inflammatory condition affecting the pubic bone and surrounding areas, often linked to surgical procedures or athletic injuries. It is a self-limiting condition treated with anti-inflammatory agents and rest.

Area of Science:

  • Medical Science
  • Orthopedics
  • Rheumatology

Background:

  • Osteitis pubis is a noninfectious inflammatory condition affecting the pubic symphysis and surrounding structures.
  • It can arise after urologic, obstetrical, and gynecological procedures, with an incidence of 2-3% after Marshall-Marchetti-Krantz urethropexy.
  • Periosteal trauma is considered a key initiating factor, though the exact pathogenesis remains unclear.

Purpose of the Study:

  • To describe osteitis pubis as a clinical entity.
  • To highlight its association with various procedures and athletic activities.
  • To discuss its diagnosis, differential diagnosis, and treatment.

Main Methods:

  • Literature review and clinical description of osteitis pubis.
  • Analysis of symptoms, radiographic findings, and laboratory results.

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  • Discussion of differential diagnoses, particularly osteomyelitis.
  • Main Results:

    • Primary symptom is pain, often with difficulty ambulating and a characteristic waddling gait.
    • Low-grade fever, elevated sedimentation rate, and mild leukocytosis may be present.
    • Radiographic changes appear approximately 4 weeks after symptom onset.

    Conclusions:

    • Osteitis pubis is a distinct clinical entity, differentiated from osteomyelitis by its self-limiting nature and response to nonantibiotic therapy.
    • Treatment involves anti-inflammatory agents and rest for minor cases, with systemic steroids or surgery for recalcitrant cases.
    • The condition should be considered in patients with pelvic pain, especially following trauma to the symphysis pubis or in athletes.