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Athletic pubalgia

Case contributed by Reem Nazeer Ali AbdulJabbar
Diagnosis probable

Presentation

An athletic patient presenting with chronic pelvic pain, particularly in the left groin.

Patient Data

Age: 20 years
Gender: Male
ct

There is subchondral erosive change, joint irregularity, and sclerosis of the symphysis pubis, consistent with osteitis pubis. Additionally, a bony fragment is observed anterior to the body of the left pubis bone.

mri

There is a linear fluid signal near the left pubis, at the site of rectus abdominis/adductor longus attachment (superior cleft sign).

There is subchondral sclerosis and irregularities.

No significant bone marrow edema of the pubis.

Case Discussion

Considering these features in correlation with the clinical history, the suggestion is athletic pubalgia secondary to osteitis pubis and chronic partial avulsion of the left adductor longus.

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