Via Alessio Giai, Frizziero Antonio, Finotti Paolo, Oliva Francesco, Randelli Filippo, Maffulli Nicola
Department of Orthopaedic Surgery and Traumatology, Hip Surgery Center, IRCCS Policlinico San Donato, Milano, Italy.
Department of Physical and Rehabilitation Medicine, University of Padova, Padova, Italy.
Open Access J Sports Med. 2018 Dec 24;10:1-10. doi: 10.2147/OAJSM.S155077. eCollection 2019.
Osteitis pubis is a common cause of chronic groin pain, especially in athletes. Although a precise etiology is not defined, it seems to be related to muscular imbalance and pelvic instability. Diagnosis is based on detailed history, clinical evaluation, and imaging, which are crucial for a correct diagnosis and proper management. Many different therapeutic approaches have been proposed for osteitis pubis; conservative treatment represents the first-line approach and provides good results in most patients, especially if based on an individualized multimodal rehabilitative management. Different surgical options have been also described, but they should be reserved to recalcitrant cases. In this review, a critical analysis of the literature about athletic osteitis pubis is performed, especially focusing on its diagnostic and therapeutic management.
耻骨炎是慢性腹股沟疼痛的常见原因，尤其是在运动员中。虽然确切病因尚不明确，但似乎与肌肉失衡和骨盆不稳定有关。诊断基于详细的病史、临床评估和影像学检查，这些对于正确诊断和恰当治疗至关重要。针对耻骨炎已经提出了许多不同的治疗方法；保守治疗是一线治疗方法，在大多数患者中能取得良好效果，特别是基于个体化多模式康复管理的情况下。也描述了不同的手术选择，但应仅用于难治性病例。在本综述中，对有关运动员耻骨炎的文献进行了批判性分析，尤其关注其诊断和治疗管理。
