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Osteitis Pubis, Sports Medicine

James M. Daniels, MD, MPH, RMSK, FAAFP, FACOEM, FACPM, William H. Dixon, MD and Michael Connolly, MD Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Inflammation of the pubic symphysis and surrounding tissue often brought on by overuse in the athletic population

  • Should be considered when treating athletes with groin pain

  • The condit...

DIAGNOSIS

HISTORY

  • No evidence-based guideline for diagnosis or treatment exists 1[C].

  • Slow progressive symptoms after increased or different athletic activity 1[C]

  • More common in men 2[C]

  • Can occur with o...

TREATMENT

GENERAL MEASURES

  • Conservative treatment is best.

  • Relative rest, followed by abdominal and hip strengthening exercises allows almost all athletes to return to a normal life outside of sports 5[...

REFERENCES

1
Beatty T. Osteitis pubis in athletes. Curr Sports Med Rep.  2012;11(2):96–98.
2
Angoules AG. Osteitis pubis in elite athletes: diagnostic and therapeutic approach. World J Orthop.  ...

ADDITIONAL READING

Yax J, Cheng D. Osteomyelitis pubis: a rare and elusive diagnosis. West J Emerg Med.  2014;15(7):880–882. 

CLINICAL PEARLS

  • This diagnosis should be considered in any patient with groin pain.

  • Many of these patients have more than one problem (i.e., OP and FAI).

  • No evidence-based guideline for treatment of thi...

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