Osteoarticular infection of the symphysis pubis and sacroiliac joints in active young sportsmen

Cheer, Kelly; Pearce, Sushmita

doi:10.1136/bmj.b5019

Cited by 11 publications

(4 citation statements)

References 12 publications

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“…Trauma to a muscle on a background of bacteraemia has been suggested in the development of pyomyositis7 12–15 with numerous reports of bacterial pyomyositis occurring in young athletes 3 7 14 15. Other predisposing factors include sickle cell disease, viral or parasitic infections, HIV infections and rheumatologic disease 16.…”

Section: Discussionmentioning

confidence: 99%

Pyomyositis of the piriformis muscle presenting with sciatica in a teenage rugby player

et al. 2012

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The authors report a rare case of piriformis pyomyositis, in a teenage rugby player, who was initially feverish and presented to us with low back pain, sciatica and inability to mobilise due to pain. Subsequent imaging investigations (MRI scan) revealed abscess formation in the piriformis muscle with compression effect on the ipsilateral sciatic nerve. A course of intravenous antibiotic therapy followed by oral antibiotics fully resolved his symptoms and returned inflammatory markers back to normal.

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Section: Discussionmentioning

confidence: 99%

Pyomyositis of the piriformis muscle presenting with sciatica in a teenage rugby player

et al. 2012

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“…1 Because infected skin lesions of atopic dermatitis (AD) are potential entry sites of causative bacteria, however, the present case report of SIJ infection emphasizes the importance of a high index of clinical suspicion for the correct diagnosis in athletes with AD as well as that of treatment for skin disorder.…”

Section: Introductionmentioning

confidence: 89%

Acute Sacroiliac Joint Infection in a Rugby Player With Atopic Dermatitis

Yasuda

Nisimatsu²

2012

Clinical Journal of Sport Medicine

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In athletes, acute bacterial infection is an unusual cause of pain in the sacroiliac joint. Although an entry site for infection is not always evident, the present case of a 15-year-old rugby player suggests the association between right sacroiliac joint infection and skin lesion of atopic dermatitis (AD) infected with group A streptococcus. Magnetic resonance imaging revealed inflammation around the sacroiliac joint with abscess formation. The infection resolved after a course of antibiotics. Because atopic skin lesion is a potential portal of bacteria, treatment for AD is essential for the prevention of pyogenic arthritis in athletes.

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“…2007; Ronchetti et al. 2008; Cheer & Pearce, 2010). Typical symptoms include pubic pain radiating to the upper or anterior thigh (Owens et al.…”

Section: Clinical Relevancementioning

confidence: 99%

“…2007; Ronchetti et al. 2008; Cheer & Pearce, 2010). During pregnancy, symphyseal pain typically causes difficulty with weight‐bearing activities such as walking and climbing stairs, and turning over in bed (Jain et al.…”

Section: Introductionmentioning

confidence: 99%

The adult human pubic symphysis: a systematic review

2010

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The pubic symphysis is a unique joint consisting of a fibrocartilaginous disc sandwiched between the articular surfaces of the pubic bones. It resists tensile, shearing and compressive forces and is capable of a small amount of movement under physiological conditions in most adults (up to 2 mm shift and 1°rotation). During pregnancy, circulating hormones such as relaxin induce resorption of the symphyseal margins and structural changes in the fibrocartilaginous disc, increasing symphyseal width and mobility. This systematic review of the English, German and French literature focuses on the normal anatomy of the adult human pubic symphysis. Although scientific studies of the joint have yielded useful descriptive data, comparison of results is hampered by imprecise methodology and ⁄ or poorly controlled studies. Several aspects of the anatomy of the pubic symphysis remain unknown or unclear: the precise attachments of surrounding ligaments and muscles; the arrangement of connective tissue fibres within the interpubic disc and the origin, structure and function of its associated interpubic cleft; the biomechanical consequences of sexual dimorphism; potential ethnic variations in morphology; and its precise innervation and blood supply. These deficiencies hinder our understanding of the normal form and function of the joint, which is particularly relevant when attempting to understand the mechanisms underlying pregnancy-related pubic symphyseal pain, a neglected and relatively common cause of pubic pain. A better understanding of the normal anatomy of the human pubic symphysis should improve our understanding of such problems and contribute to better treatments for patients suffering from symphyseal pain and dysfunction.

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Osteoarticular infection of the symphysis pubis and sacroiliac joints in active young sportsmen

Abstract: Athletic patients may be susceptible to staphylococcal infection of their cartilaginous non-synovial joints

Cited by 11 publications

References 12 publications

Pyomyositis of the piriformis muscle presenting with sciatica in a teenage rugby player

Pyomyositis of the piriformis muscle presenting with sciatica in a teenage rugby player

Acute Sacroiliac Joint Infection in a Rugby Player With Atopic Dermatitis

The adult human pubic symphysis: a systematic review

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