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Operative Techniques in Sports Medicine, Edited by J.W.
Byrd
Volume 13, Issue 1, Pages 62-67 (January 2005)
Chapter by Steve A. Mora MD, Bert Mandelbaum MD
In this book chapter, Orthopaedic Surgeons Steve A. Mora MD,
Bert Mandelbaum MD focus
on major problems involving hip and groin injuries in the athlete.
Topics cover soccer injuries, sports hernia, pubalgia, groin strains,
hip arthroscopy, etc.
The task of diagnosing and managing groin pain in the athlete
represents a formidable challenge for sports medicine experts.
Osteitis pubis should be considered in all athletes with groin pain,
especially those athletes who participate in forceful kicking or
running sports. Athletic osteitis pubis is believed to be caused by
microtrauma and/or instability of the pubic symphysis, in contrast to
obstetrical and urologic osteitis pubis, which are not associated with
sporting activity. Osteitis pubis has been identified in a variety of
sports including fencing, ice hockey, wrestling, Olympic walking,
rugby, tennis, running, football, diving, and basketball. In athletes,
osteitis pubis may evolve into a chronic, painful, disabling condition
causing significant amounts of lost playing and practice time.
Nonoperative treatment is successful in the majority of cases;
however, complete recovery may take months. For cases that are
recalcitrant to conservative treatment, surgical procedures addressing
the abnormal pubic symphysis inflammation and instability have been
described. Before surgery, it is critical that the clinician is
certain of the diagnosis and that other disorders causing groin pain
are ruled out. This article will take a detailed look at osteitis
pubis and the procedures designed to treat this disorder when
nonoperative measures fail.
Link to Publisher
Keywords: pubalgia,
groin strain,
adductor strain,
gracilis syndrome,
osteitis pubis,
sports hernia,
sportsman hernia,
hockey groin syndrome
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