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Anteroposterior pelvic radiograph in a collegiate hockey player with clinical examination consistent with intra-articular hip and athletic pubalgia symptoms reveals bilateral cam type deformities (solid arrow), acetabular retroversion (dashed curved line), and ostieitis pubis (dashed arrow).
Clinically Relevant Anatomy. Bones and muscles attaching the pubis are important in understanding pubalgia. Femur, and pelvis and all the muscles that attach to pubic symphysis are important for the anatomic perspective of pubalgia.
1 mar 2024 · There is a variety of surgical procedures that have been described for the treatment of athletic pubalgia. The goal, however, remains the same despite the approach: restoring normal anatomy around the pubic bone.
If you’re experiencing symptoms of a sports hernia (athletic pubalgia) be sure to contact your healthcare provider. Sports hernias do not generally heal on their own, so you’ll likely need treatment.
The pubis acts as a pivot point between the abdominal musculature and lower-extremity adductors, and therefore, pain with palpation over the symphysis or its surrounding structures is typical in athletic pubalgia. Symptoms can be reproduced during a resisted sit-up or with a forced cough or sneeze.
Nonsurgical Treatment. Rest. In the first 7 to 10 days after the injury, treatment with rest and ice can be helpful. If you have a bulge in the groin, compression or a wrap may help relieve painful symptoms. Physical therapy.
Many different factors influence the non-operative treatment for groin pain in athlete’s rehabilitation outcomes, including a prior history of groin pain, severity of injury and number of structures injured (adductor related, inguinal related, pubic related or hip related).
