Osteitis pubis

Case contributed by Dr Tim Luijkx

Presentation

Recurrent bilateral inguinal pain, mostly on the left side. Clinical image seemed to be that of femoro-acetabular impingement, but now the pain is more localised around the pubic bone and left adductor magnus insertion. Osteitis pubis?

Patient Data

Age: 17
Gender: Male
Modality: MRI

Bone marrow oedema in the medial left pubic bone, no oedema outside of the bone. No secondary cleft sign.

Normal appearance of tendons and aponeurosis of rectus abdominis-adductor longus.

Normal femoral heads. No inguinal hernia.

Case Discussion

Findings consistent with osteitis pubis. 

Osteitis pubis is one of the pathologic entities grouped together as athletic pubalgia, which involves either a musculotendinous or osseous injury of the insertion of the rectus abdominis and the origin of the adductor longus, which come together in an aponeurosis on the pubic bones.

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Case Information

rID: 39042
Case created: 17th Aug 2015
Last edited: 14th Feb 2016
Inclusion in quiz mode: Included

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