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Mild hypertrophic bony and capsular changes at symphysis pubis with underlying bilateral marrow edema.
Hyperintensity is seen anterior to and within anterosuperior pubic body on left side, underneath common adductor – rectus abdominus aponeurosis insertion.
Small cystic lesion is seen along the greater trochanter of left femur – likely ganglion cyst (likely incidental finding).
Above findings are suggestive of moderate osteitis pubis with associated partial avulsion of left common adductor – rectus abdominis aponeurosis and adductor longus tendon origin (athletic pubalgia).
- Emblom BA, Mathis T, Aune K. Athletic Pubalgia Secondary to Rectus Abdominis-Adductor Longus Aponeurotic Plate Injury: Diagnosis, Management, and Operative Treatment of 100 Competitive Athletes. Orthop J Sports Med. 2018;6(9):2325967118798333.
- Koulouris G. Imaging Review of Groin Pain in Elite Athletes: An Anatomic Approach to Imaging Findings. AJR 2008; 191:962-972.