Athletic pubalgia

Case contributed by Utkarsh Kabra


Groin pain

Patient Data

Age: 25 years
Gender: Male

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).

Case Discussion

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).

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