Ghaly Ramsis F, Perciuleac Zinaida, Candido Kenneth D, Knezevic Nebojsa Nick
Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA.
Ghaly Neurosurgical Associates, Aurora, Illinois, USA.
Surg Neurol Int. 2019 Nov 22;10:224. doi: 10.25259/SNI_505_2019. eCollection 2019.
Athletic pubalgia is a painful complex syndrome encountered by many athletes involved in sports. Multiple pathologies often coexist, and many systems can refer pain to the groin. The current case reflects the failure to distinguish pubalgia from lumbar radiculopathy.
Originally, a 47-year-old male with left-sided inner thigh pain was diagnosed as having a L3-4-disc herniation and spinal stenosis; he underwent a L3-4 and L4-5 laminectomy/discectomy. For 2 years postoperatively, the pain persisted. Ultimately, he underwent surgical reinsertion of the adductor muscle and experienced immediate and sustained pain relief.
This case report highlights how pubalgia may be misdiagnosed as a lumbar disc herniation and may inadvertently lead to unnecessary lumbar surgery.
运动性耻骨痛是许多从事体育运动的运动员所遇到的一种疼痛复杂综合征。多种病理情况常并存，许多系统都可将疼痛牵涉至腹股沟区。本病例反映了未能将耻骨痛与腰椎神经根病区分开来。
最初，一名47岁左侧大腿内侧疼痛的男性被诊断为L3-4椎间盘突出症和椎管狭窄；他接受了L3-4和L4-5椎板切除术/椎间盘切除术。术后2年，疼痛持续存在。最终，他接受了内收肌手术复位，疼痛立即且持续缓解。
本病例报告强调了耻骨痛如何可能被误诊为腰椎间盘突出症，并可能无意中导致不必要的腰椎手术。
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