Combs J A
Orthopedic Surgery Service, Landstuhl (Army) Regional Medical Center, Germany.
Med Sci Sports Exerc. 1998 Nov;30(11):1561-3. doi: 10.1097/00005768-199811000-00001.
Osteitis pubis is a well-known complication of invasive procedures about the pelvis which is caused by a bacterial infection. It is also now known that osteitis pubis in athletes is an inflammatory disorder rather than infectious as previously thought. It occurs in athletes who place significant repetitive stresses across the symphysis in such activities as running, race walking, gymnastics, soccer, rugby, basketball, and tennis. This case report, however, describes a weight lifter who developed a bacterially caused osteitis pubis without any invasive trauma. He was evaluated thoroughly and no other focus of infection was found. He was treated conservatively with intravenous antibiotics and physical therapy. At 3 months follow-up he had returned to his usual fitness activities without limitations. Although most osteitis pubis in athletes is inflammatory in nature, health care providers must keep an index of suspicion that an infectious etiology is possible in this population even without invasive trauma.
耻骨炎是骨盆侵入性手术的一种众所周知的并发症，由细菌感染引起。现在还知道，运动员的耻骨炎是一种炎症性疾病，而非如之前所认为的那样是感染性疾病。它发生在从事跑步、竞走、体操、足球、橄榄球、篮球和网球等活动时，在耻骨联合处承受显著反复应力的运动员身上。然而，本病例报告描述了一名举重运动员，他在没有任何侵入性创伤的情况下患上了由细菌引起的耻骨炎。对他进行了全面评估，未发现其他感染病灶。他接受了静脉注射抗生素和物理治疗的保守治疗。在3个月的随访中，他已恢复到正常的健身活动，没有任何限制。尽管运动员中的大多数耻骨炎本质上是炎症性的，但医疗保健提供者必须保持怀疑指数，即即使没有侵入性创伤，该人群中也有可能存在感染性病因。
