Magnetic resonance findings of osteitis pubis.
OBJECTIVE
To determine the correlation of MR findings with clinical features of osteitis pubis and to look for associating injuries complicating chronic cases.


METHODS
Pelvic MR images of the 22 elite athletes with groin pain were taken. Correlation analysis between the MR findings and clinical properties was carried out.


RESULTS
Six of the MR findings had strong correlation with duration of symptoms. Subchondral bone marrow edema, fluid in symphysis pubis joint, and periarticular edema had significant correlation with acuity of the case. On the contrary, subchondral sclerosis, subchondral resorption and bony margin irregularities, and osteophytes correlated with the chronicity of the case. Associated tendon injuries correlated with the duration of symptoms; i.e., all tendon injuries were in chronic cases.


CONCLUSIONS
Subchondral bone marrow edema, fluid in symphysis pubis joint, and periarticular edema are the most reliable MRI findings of osteitis pubis that has a history of less than six months. Subchondral sclerosis, subchondral resorption and bony margin irregularities, and osteophytes (or pubic beaking) are the most reliable MRI findings of the chronic disease that has been present for more than six months. Associated pathologies, especially adductor or other tendon injuries, underlie more than half of the chronic cases of osteitis pubis.
Kunduracioglu
Burak
B
Department of Sports Medicine, Ankara University Medical School, Ankara, Turkey.
Yilmaz
Cengiz
C
Yorubulut
Mehmet
M
Kudas
Savas
S
D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000175:diagnosis*; D001853:Bone Marrow / Q000473:pathology; D001862:Bone Resorption / Q000175:diagnosis / Q000209:etiology; D002908:Chronic Disease; D003937:Diagnosis, Differential; D004487:Edema / Q000175:diagnosis / Q000209:etiology; D006119:Groin / Q000473:pathology; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D010000:Osteitis / Q000175:diagnosis*; D010146:Pain / Q000209:etiology; D011630:Pubic Bone / Q000473:pathology*; D011631:Pubic Symphysis / Q000473:pathology; D012598:Sclerosis / Q000175:diagnosis / Q000209:etiology; D012720:Severity of Illness Index; D012916:Soccer / Q000293:injuries; D013708:Tendon Injuries / Q000175:diagnosis; D013997:Time Factors