Osteitis Pubis: Difference between revisions
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<div class="editorbox"> '''Original Editor '''- | <div class="editorbox"> '''Original Editor '''- Shreya Pavaskar<br> | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | ||
== | == Description == | ||
Osteitis pubis is chronic condition affecting the pubic symphysis and surrounding soft tissues. It is characterized by pain and local tenderness over the pubic symphysis. It commonly affects athletes, especially those who participate in sports that involve kicking, turning, twisting, cutting, pivoting, sprinting, rapid acceleration and deceleration or sudden directional changes. It is an overuse syndrome. | |||
== Clinically Relevant Anatomy == | |||
The pubic symphysis is a fibro-cartilaginous,non-synovial amphiarthrodial joint between left and right superior rami of the pubic bones. It is located in front of and below the urinary bladder. The center is avascular in nature.The ends of both pubic bones are covered by hyaline cartilage attached to the fibrocartilage. The fibroc-artilaginous disk is reinforced by ligaments. Adductor longus, Gracilis, Adductor brevis, Obturator externus and rectus abdominus muscles attach to pelvis. | |||
== Mechanism of Injury == | |||
The exact etiology is not exactly been clarified and is still debated.Muscle imbalance between the abdominal and hip adductor muscles is currently considered the most important pathogenetic factor in the development of osteitis pubis. The adductors are antagonists to the abdominal muscles. Imbalances between abdominal and adductor muscle groups disrupt the equilibrium of forces around the pubic symphysis, predisposing the athlete to a subacute periostitis caused by chronic microtrauma. The cumulative microtrauma and altered biomechanics leads to instability and lesions. Reduced internal rotation of the hip,pregnancy, rheumatic disorders and instability of the sacroiliac joint predisposing factors as they lead to increased shearing stress in the pelvis.<br> | |||
== Clinical Presentation == | == Clinical Presentation == | ||
- Anterior and medial groin pain exaggerated by movement | |||
- <br> | |||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
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add links to outcome measures here (see [[Outcome Measures|Outcome Measures Database]]) | add links to outcome measures here (see [[Outcome Measures|Outcome Measures Database]]) | ||
== Management / Interventions | == Management / Interventions == | ||
add text here relating to management approaches to the condition<br> | add text here relating to management approaches to the condition<br> | ||
== Differential Diagnosis | == Differential Diagnosis == | ||
add text here relating to the differential diagnosis of this condition<br> | add text here relating to the differential diagnosis of this condition<br> | ||
== Resources | == Resources == | ||
add appropriate resources here | add appropriate resources here | ||
Revision as of 17:24, 19 September 2020
Top Contributors - Tehseen Zahra, Lucinda hampton, Pacifique Dusabeyezu, Shreya Pavaskar, Aminat Abolade and Kim Jackson
Description[edit | edit source]
Osteitis pubis is chronic condition affecting the pubic symphysis and surrounding soft tissues. It is characterized by pain and local tenderness over the pubic symphysis. It commonly affects athletes, especially those who participate in sports that involve kicking, turning, twisting, cutting, pivoting, sprinting, rapid acceleration and deceleration or sudden directional changes. It is an overuse syndrome.
Clinically Relevant Anatomy[edit | edit source]
The pubic symphysis is a fibro-cartilaginous,non-synovial amphiarthrodial joint between left and right superior rami of the pubic bones. It is located in front of and below the urinary bladder. The center is avascular in nature.The ends of both pubic bones are covered by hyaline cartilage attached to the fibrocartilage. The fibroc-artilaginous disk is reinforced by ligaments. Adductor longus, Gracilis, Adductor brevis, Obturator externus and rectus abdominus muscles attach to pelvis.
Mechanism of Injury[edit | edit source]
The exact etiology is not exactly been clarified and is still debated.Muscle imbalance between the abdominal and hip adductor muscles is currently considered the most important pathogenetic factor in the development of osteitis pubis. The adductors are antagonists to the abdominal muscles. Imbalances between abdominal and adductor muscle groups disrupt the equilibrium of forces around the pubic symphysis, predisposing the athlete to a subacute periostitis caused by chronic microtrauma. The cumulative microtrauma and altered biomechanics leads to instability and lesions. Reduced internal rotation of the hip,pregnancy, rheumatic disorders and instability of the sacroiliac joint predisposing factors as they lead to increased shearing stress in the pelvis.
Clinical Presentation[edit | edit source]
- Anterior and medial groin pain exaggerated by movement
-
Diagnostic Procedures[edit | edit source]
add text here relating to diagnostic tests for the condition
Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions[edit | edit source]
add text here relating to management approaches to the condition
Differential Diagnosis[edit | edit source]
add text here relating to the differential diagnosis of this condition
Resources[edit | edit source]
add appropriate resources here
References[edit | edit source]
.
