Harris N H, Murray R O
Br Med J. 1974 Oct 26;4(5938):211-4. doi: 10.1136/bmj.4.5938.211.
In a radiological study of the pubic symphysis in 37 athletes (26 footballers and 11 others) and 156 young men as controls changes similar to those of osteitis pubis were found in 19 (76%) of the footballers and nine of the other athletes (81%) and 70 of the controls (45%). In the controls there was a significant correlation between their athletic ability and these changes.The clinical features consist of pain in the region of the pubis which may radiate to the groin or lower abdomen. Clicking may be present and indicates instability. Local tenderness is the only significant sign. Radiographs may show a combination of marginal irregularity, reactive sclerosis, and instability.A chronic stress lesion in the iliac component of a sacro-iliac joint was found in 20 out of 37 athletes, and 13 of them had instability at the pubic symphysis.It is concluded that repeated minor trauma is the primary aetiological factor. Though the radiological appearance may resemble that of osteitis pubis, there was no evidence that infection caused the lesion in this series. Spontaneous remission of symptoms is the most likely outcome. Rest from physical exertion is the most effective treatment, and stabilization of the pubic symphysis is indicated only rarely.
在一项针对37名运动员（26名足球运动员和11名其他运动员）以及156名年轻男性作为对照的耻骨联合放射学研究中，19名（76%）足球运动员、9名其他运动员（81%）以及70名对照者（45%）出现了与耻骨炎相似的变化。在对照者中，他们的运动能力与这些变化之间存在显著相关性。临床特征包括耻骨区域疼痛，疼痛可能放射至腹股沟或下腹部。可能会出现弹响，提示不稳定。局部压痛是唯一显著的体征。X线片可能显示边缘不规则、反应性硬化和不稳定的组合。在37名运动员中，20人在骶髂关节的髂骨部分发现慢性应力性损伤，其中13人耻骨联合存在不稳定。结论是反复轻微创伤是主要病因。尽管放射学表现可能类似于耻骨炎，但在本系列中没有证据表明感染导致了病变。症状最有可能自发缓解。停止体力活动是最有效的治疗方法，仅在极少数情况下才需要对耻骨联合进行稳定处理。
