Osteitis Pubis

Coventry, Mark B.

doi:10.1001/jama.1961.03040480028006

Cited by 71 publications

(12 citation statements)

References 6 publications

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“…Moderate and severe changes were almost totally confined to patients with ankylosing spondylitis. The lack of symptoms associated with radiological osteitis pubis is in agreement with the findings of Coventry and Mitchell (1961), who consider osteitis pubis to have a varied clinical course, with asymptomatic forms being common.…”

Section: Discussionsupporting

confidence: 88%

“…Early reports related osteitis pubis to urological disease, prostatectomy, and pelvic surgery. Subsequently other causes have been described, including pregnancy and trauma (Wiltse and Frantz, 1956;Coventry and Mitchell, 1961;Harris and Murray, 1974).…”

mentioning

confidence: 99%

“…The commonest of these are ankylosing spondylitis, rheumatoid arthritis, and to a less extent osteoarthritis (Coventry and Mitchell, 1961;Dilsen, et al 1962). But there is little detailed information on the nature, frequency, extent, and interrelationships of abnormalities at the pubic symphysis in these diseases.…”

mentioning

confidence: 99%

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A comparative radiological study of the pubic symphysis in rheumatic disorders.

Scott¹,

Eastmond²,

Wright³

1979

Annals of the Rheumatic Diseases

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SUMMARY Radiological abnormalities are often seen at the pubic symphysis in rheumatic disorders. In a radiological study of 120 patients with rheumatic diseases osteitis pubis with erosive and sclerotic changes was a feature of ankylosing spondylitis. Irregularity and subluxation were not related to osteitis pubis or diagnostic group but were common in females and had a possible association with previous pregnancy.The radiological changes at the pubic symphysis of osteitis pubis have been recognised for more than 50 years. Early reports related osteitis pubis to urological disease, prostatectomy, and pelvic surgery. Subsequently other causes have been described, including pregnancy and trauma (Wiltse and Frantz, 1956;Coventry and Mitchell, 1961;Harris and Murray, 1974).A number of rheumatic disorders have been associated with radiological abnormalities of the pubic symphysis. The commonest of these are ankylosing spondylitis, rheumatoid arthritis, and to a less extent osteoarthritis (Coventry and Mitchell, 1961;Dilsen, et al. 1962). But there is little detailed information on the nature, frequency, extent, and interrelationships of abnormalities at the pubic symphysis in these diseases.In the present study radiological changes at the pubic symphysis have been examined in patients with ankylosing spondylitis, rheumatoid arthritis, and osteoarthritis. Pain of insidious or sudden onset is the predominant symptom associated with osteitis pubis, and the significance of this has been considered in relation to the radiological changes.As pregnancy and trauma are 2 causes of osteitis pubis which could also be involved in at least some patients, the possible significance of these factors has also been considered.Radiological fluffy periostitis of the inferior pubic ramus is an additional feature considered to be associated with ankylosing spondylitis (Dilsen et al., 1962). Radiographs have been analysed in the present study for such changes and their relationship to changes at the symphysis pubis considered.

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Section: Discussionsupporting

confidence: 88%

mentioning

confidence: 99%

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A comparative radiological study of the pubic symphysis in rheumatic disorders.

Scott¹,

Eastmond²,

Wright³

1979

Annals of the Rheumatic Diseases

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“…[43][44][45][46][47][48][49] In multiple studies, mainly case reports, osteitis pubis has been used as the diagnostic term for groin pain in athletes 15 50-54 when the radiological findings are similar to those found in the original osteitis pubis. In many of the studies describing osteitis pubis as a diagnosis of groin pain in athletes, adductor-related symptoms are at least present, and often dominant.…”

Section: Adductor-related Pain and Osteitis Pubismentioning

confidence: 99%

Long-standing groin pain in sportspeople falls into three primary patterns, a “clinical entity” approach: a prospective study of 207 patients

2007

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Background: Groin pain remains a major challenge in sports medicine. Aim: To examine 207 consecutive athletes (196 men, 11 women) with groin pain using a standardised and reliable clinical examination programme that focused on signs that suggest pathology in (1) the adductors, (2) the ilopsoas and (3) the rectus abdominis. Patients and methods: Most patients were football players (66%) and runners (18%). In this cohort, the clinical pattern consistent with adductor-related dysfunction, was the primary clinical entity in 58% of the patients and in 69% of the football players. Iliopsoas-related dysfunction was the primary clinical entity in 36% of the patients. Rectus abdominis-related dysfunction was found in 20 (10%) patients but it was associated with adductor-related pain in 18 of these patients. Multiple clinical entities were found in 69 (33%) patients; of these, 16 patients had three clinical entities. Conclusions: These descriptive data extend previous findings that physical examination for groin pain can be reliable. While underscoring the prevalence of adductor-related physical examination abnormality in football players, the data highlight the prevalence of examination findings localising to the iliopsoas among this cohort. Also, the fact that combinations of clinical entities were present has important implications for treatment. The finding of multiple abnormal clinical entities also raises the possibility that earlier presentation may be prudent; it is tempting to speculate that one clinical entity likely precedes other developing entities. These data argue for the need for a trial where clinical entities are correlated with systematic investigation including MRI and ultrasonography.

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“…Each patient was referred for a combined barium-meal examination and cholecystogram, followed by fibreoptic endoscopy of the oesophagus, stomach, and duodenum. Thirty patients had a specific lesion of the upper digestive tract and a further four had gall-bladder disease; of these, 16 required surgical treatment. Endoscopy in the remaining 16 patients showed nine with mucosal abnormalities, leaving only seven patients to be classified as normal.…”

Section: Discussionmentioning

confidence: 99%