Kitamura Hitomi, Fukui Tomoaki, Oe Keisuke, Matsushita Takehiko, Kuroda Ryosuke, Niikura Takahiro
Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
J Orthop Case Rep. 2022 Dec;12(12):39-42. doi: 10.13107/jocr.2022.v12.i12.3456.
Osteomyelitis pubis is a rare disease that presents with fever, pubic or hip pain, pain during hip movement, and claudication to avoid pain. It most frequently affects young athletes involved in sports that require twisting and cutting, but its exact cause is unknown and no definite treatment has been established. We report a case of pubic osteomyelitis in a young football player who was treated using the Masquelet technique and antibiotics with a good clinical course.
A 22-year-old male football player in a national-level university club team visited a nearby clinic complaining of high fever and mild pain in his bilateral hip joints. As a result of examination, we diagnosed osteomyelitis pubis and reconstructed the pubic symphysis by the Masquelet technique. In this case, the joint-like structure of the pubic symphysis was successfully reconstructed, and the patient was able to continue playing the sport. Three years and 3 months after surgery, he had no limitation of bilateral hip joint range of motion and did not display any symptoms while playing football.
Masquelet technique could be a novel surgical method for managing osteomyelitis pubis, even in athletes.
耻骨骨髓炎是一种罕见疾病,表现为发热、耻骨或髋部疼痛、髋关节活动时疼痛以及为避免疼痛而出现的跛行。它最常影响参与需要扭转和变向运动的年轻运动员,但其确切病因不明,且尚未确立明确的治疗方法。我们报告一例年轻足球运动员耻骨骨髓炎病例,该患者采用Masquelet技术和抗生素治疗,临床过程良好。
一名来自国家级大学俱乐部球队的22岁男性足球运动员因双侧髋关节高热和轻度疼痛前往附近诊所就诊。经检查,我们诊断为耻骨骨髓炎,并采用Masquelet技术重建耻骨联合。在该病例中,耻骨联合的关节样结构得以成功重建,患者能够继续从事该项运动。术后三年零三个月,他双侧髋关节活动范围无受限,踢足球时也未出现任何症状。
即使对于运动员,Masquelet技术也可能是治疗耻骨骨髓炎的一种新手术方法。