Pathogenesis (development of disease) The cause of symphysitis is recurrent (repetitive) microtrauma due to misuse or overuse. In this case, permanently high antagonistic (“opposing”) muscle forces, namely abdominal muscles (abdominals) versus adductors (group of skeletal muscles that belong to the pulling (adduction) of a limb), act on the tendinous and periosteal (periosteal) attachments to symphysis … Pubic Bone Inflammation (Symphysitis): Causes
General measures As a conservative therapeutic measure: initial immobilization and relief. In extremely painful course of the disease, which is not uncommon, athletes must endure a longer-term training and competition interruption. Drug therapy Anti-inflammatory drugs (anti-inflammatory drugs) from the group of non-steroidal anti-inflammatory drugs (NSAIDs). If necessary, also glucocorticoid therapy. Conventional non-surgical therapy methods Infiltration … Pubic Bone Inflammation (Symphysitis): Therapy
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Inflammatory parameter – CRP (C-reactive protein) [0/↑]
Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. X-ray of the pelvis (anterior-posterior projection; a.-p. projection; beam path from front to back) [sclerosis zones and irregularities of the symphysis gap as indirect signs of symphysitis]If necessary, also single-leg stand radiograph … Pubic Bone Inflammation (Symphysitis): Diagnostic Tests
Surgical measures are most likely to be offered to competitive athletes. 2nd order Curettage – scraping of tissue in the symphysis area that has been altered by inflammation and is sensitive. Arthrodesis of the symphysis – stiffening of the symphysis by means of a bone spans from the iliac crest, which is fixed by a … Pubic Bone Inflammation (Symphysitis): Surgical Therapy
Prevention factors (protective factors) Adequate warm-up before exercise. Improvement of athletic technique Reduction of abdominal muscle tone and muscle tone of the adductors (group of skeletal muscles that belong to the pulling (adduction) of a limb). Stretching exercises of the adductors Building and stabilization training for the abdominal and trunk muscles. Improving lumbosacral stability and … Pubic Bone Inflammation (Symphysitis): Prevention
The following symptoms and complaints may indicate symphysitis (pubitis): Pain when walking or climbing stairs, and when standing on one leg (single-leg stance, such as when getting dressed) Pain may be local (localized) to the pubic symphysis (Symphysis pubica) and pubic branches (Pubalgia/Pubalgia).Note: The pubic bone has two pubic branches, an upper (Ramus superior ossis … Pubic Bone Inflammation (Symphysitis): Symptoms, Complaints, Signs
Medical history (history of illness) is an important component in the diagnosis of symphysitis (pubitis). Family history Social history What is your occupation? Current medical history/systemic history (somatic and psychological complaints). Can you show me (describe) exactly where the pain is localized? Is the pain always in the same place? How long has the pain … Pubic Bone Inflammation (Symphysitis): Medical History
Musculoskeletal system and connective tissue (M00-M99). Adductor strains – strains of the group of skeletal muscles that are part of the pulling (adduction) of a limb. Pelvic obliquity, unilateral (= leg length difference < 2 cm). Blockages of the sacroiliac joint (IGS blockages; ISG / sacroiliac joint). Hip joint diseases Insertion tendinopathy – pain conditions … Pubic Bone Inflammation (Symphysitis): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by symphysitis (pubitis): Musculoskeletal system and connective tissue (M00-M99). Septic symphysitis due to postoperative infection. Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99) Chronic pain in the groin region (chronic groin pain/chronic groin pain).
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or joint posture (upright, bent, gentle posture). Malpositions [deformities, contractures, shortenings]. … Pubic Bone Inflammation (Symphysitis): Examination
