Osteitis pubis
You don't need to be Editor-In-Chief to add or edit content to WikiDoc. You can begin to add to or edit text on this WikiDoc page by clicking on the edit button at the top of this page. Next enter or edit the information that you would like to appear here. Once you are done editing, scroll down and click the Save page button at the bottom of the page.
| Osteitis pubis Classification and external resources | |
| DiseasesDB | 33068 |
|---|---|
| eMedicine | pmr/92 sports/90 |
|
WikiDoc Resources for Osteitis pubis | |
|
Articles | |
|---|---|
|
Most recent articles on Osteitis pubis Most cited articles on Osteitis pubis | |
|
Media | |
|
Powerpoint slides on Osteitis pubis | |
|
Evidence Based Medicine | |
|
Clinical Trials | |
|
Ongoing Trials on Osteitis pubis at Clinical Trials.gov Trial results on Osteitis pubis Clinical Trials on Osteitis pubis at Google
| |
|
Guidelines / Policies / Govt | |
|
US National Guidelines Clearinghouse on Osteitis pubis NICE Guidance on Osteitis pubis
| |
|
Books | |
|
News | |
|
Commentary | |
|
Definitions | |
|
Patient Resources / Community | |
|
Patient resources on Osteitis pubis Discussion groups on Osteitis pubis Patient Handouts on Osteitis pubis Directions to Hospitals Treating Osteitis pubis Risk calculators and risk factors for Osteitis pubis
| |
|
Healthcare Provider Resources | |
|
Causes & Risk Factors for Osteitis pubis | |
|
Continuing Medical Education (CME) | |
|
International | |
|
| |
|
Businness | |
|
Experimental / Informatics | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-525-6884
Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Osteitis pubis is a medical condition which is prevalent among footballers, runners and other athletes, particularly players of Australian rules football. In Australia the condition is increasingly being referred to as simply "OP", especially in media covering the Australian Football League.
Presentation
Osteitis pubis, first described in 1924,[1] is characterised by inflammation of the pubic symphysis, which is the joint at the front of the pelvis between the two ends of the pubic bone. This inflammation leads to sclerosis and bony changes of the pubis symphysis, causing both acute and chronic groin pain. The condition can render sufferers incapable of sustained physical activity. There is no specific treatment for the condition and it can seriously affect the careers of footballers affected by it.
Causes
The cause of osteitis pubis is excessive physical strain on the pubic bone, usually caused by the increasing rigorous demands of competitive sport, particularly football. In such sports, actions such as running, jumping, kicking and rapid changes of direction cause the abdominal and groin muscles to exercise a pulling or traction force on the pubic bone, which in some cases can result in excessive stress and inflammation. In Australian football this risk is increased by repeated jarring of the pelvis caused when players come down from the high leaps required by the game, and also by tackling from other players. This also makes the pain come when doing kicking motions.
In the pre-antibiotic era it was an occasional complication of pelvic surgery and in particular of retropubic prostatectomy.
Symptoms
The symptoms of osteitis pubis can include loss of flexibility in the groin region, a dull aching pain in the groin, or in more severe cases a sharp stabbing pain when running, kicking, changing directions, or even during routine activities such as standing up or getting out of a car.
Incidence
The incidence of osteitis pubis among Australian footballers has increased sharply over the past decade. There are believed to be three reasons for this:
- The increasing physical demands of Australian rules football. As the game has become more professionalised, with players becoming full-time athletes, such factors as running speed, kicking length, jumping and tackling have all increased, placing increasing stress on the pubic region.
- The increasing hardness of the surfaces of football grounds. Grounds are better drained than in the past, and the game is increasingly played in roofed stadiums in which the grounds receive no rain. Australian football evolved as a winter game played on soft, muddy grounds, and modern surfaces have made muscle and bone injuries more common.
- The increasing demand for size and strength among footballers. This has led young players to concentrate on building muscle mass before their bodies are fully mature. The additional strain that highly developed abdominal muscles place on the pubic bone explains the higher prevalence of osteitis pubis on young players. Some develop the condition while still playing school-level football.
Treatment and prevention
There is no specific treatment for osteitis pubis, and it frequently causes long-term problems, in some cases medication, and stretching and strengthening of the stabilising muscles. Surgical intervention, such as wedge resection of the pubis symphysis, is sometimes attempted in severe cases[1], but its success rate is not high, and surgery may lead to later pelvic problems.
The Australian Football League has taken some steps to reduce the incidence of osteitis pubis, in particular recommending that clubs restrict the amount of body building which young players are required to carry out, and in general reducing the physical demands on players before their bodies mature.
See also
References
WikiDoc Research Resources for Osteitis pubis | |
|---|---|
| Articles on Osteitis pubis | Most recent articles on Osteitis pubis • Most cited articles on Osteitis pubis • Review articles on Osteitis pubis • Articles on Osteitis pubis in N Eng J Med, Lancet, BMJ |
| Media (Slides, Video, Images, MP3) on Osteitis pubis | Powerpoint slides on Osteitis pubis • Images of Osteitis pubis • Photos of Osteitis pubis • Podcasts & MP3s on Osteitis pubis • Videos on Osteitis pubis |
| Evidence Based Medicine Regarding Osteitis pubis | Cochrane Collaboration on Osteitis pubis • Bandolier on Osteitis pubis • TRIP on Osteitis pubis |
| Cost Effectiveness of Osteitis pubis | Cost Effectiveness of Osteitis pubis |
| Clinical Trials Involving Osteitis pubis | Ongoing Trials on Osteitis pubis at Clinical Trials.gov • Trial results on Osteitis pubis • Clinical Trials on Osteitis pubis at Google |
| Guidelines / Policies / Government Resources (FDA/CDC) Regarding Osteitis pubis | US National Guidelines Clearinghouse on Osteitis pubis • NICE Guidance on Osteitis pubis • NHS PRODIGY Guidance • FDA on Osteitis pubis • CDC on Osteitis pubis |
| Textbook Information on Osteitis pubis | Books and Textbook Information on Osteitis pubis |
| Pharmacology Resources on Osteitis pubis | Dosing of Osteitis pubis • Drug interactions with Osteitis pubis • Side effects of Osteitis pubis • Allergic reactions to Osteitis pubis • Overdose information on Osteitis pubis • Carcinogenicity information on Osteitis pubis • Osteitis pubis in pregnancy • Pharmacokinetics of Osteitis pubis • |
| Genetics, Pharmacogenomics, and Proteinomics of Osteitis pubis | Genetics of Osteitis pubis • Pharmacogenomics of Osteitis pubis • Proteomics of Osteitis pubis |
| Newstories on Osteitis pubis | Osteitis pubis in the news • Be alerted to news on Osteitis pubis • News trends on Osteitis pubis |
| Commentary on Osteitis pubis | Blogs on Osteitis pubis |
| Patient Resources on Osteitis pubis | Patient resources on Osteitis pubis • Discussion groups on Osteitis pubis • Patient Handouts on Osteitis pubis • Directions to Hospitals Treating Osteitis pubis • Risk calculators and risk factors for Osteitis pubis |
| Healthcare Provider Resources on Osteitis pubis | Symptoms of Osteitis pubis • Causes & Risk Factors for Osteitis pubis • Diagnostic studies for Osteitis pubis • Treatment of Osteitis pubis |
| Continuing Medical Education (CME) Programs on Osteitis pubis | CME Programs on Osteitis pubis |
| International Resources on Osteitis pubis | Osteitis pubis en Espanol • Osteitis pubis en Francais |
| Business Resources on Osteitis pubis | Osteitis pubis in the Marketplace • Patents on Osteitis pubis |
| Informatics Resources on Osteitis pubis | List of terms related to Osteitis pubis |
| ||||
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
