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Transl Med UniSa. 2014 Apr 8;10:52-8. eCollection 2014 Sep.

Osteitis pubis: can early return to elite competition be contemplated?

Author information

1
F.C. Barcelona Medical Department. Barcelona. Spain.
2
Centre de Diagnòstic per Imatge de Tarragona. Tarragona. Spain.
3
Sydney School of Medicine. University of Notre Dame. Sydney. Australia.
4
National Track & Field Centre, Sports Medicine Clinic of S.E.G.A.S., Thessaloniki, Greece.
5
Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo, Rome, Italy.
6
Centre Lead and Professor of Sports and Exercise Medicine Consultant Trauma and Orthopaedic Surgeon Centre for Sports and Exercise Medicine Barts and The London School of Medicine and Dentistry Mile End Hospital.

Abstract

BACKGROUND AND PURPOSE:

In elite athletes, osteitis pubis is a common painful degenerative process of the pubic symphysis and surrounding soft tissues and tendons. We report the diagnostic pathway and the rehabilitation protocol of six elite athletes with osteitis pubis in three different sports, and compare protocol stages and time to return to competition.

METHODS:

6 athletes (2 soccer, 2 basketball, 2 rugby players) were diagnosed with osteitis pubis stage III and IV according to Rodriguez classification using standard clinical and imaging criteria. After performing a baseline lumbo-pelvic assessment, the rehabilitation protocol described by Verrall was adapted to each individual athlete.

RESULTS:

The length of time for each stage of the protocol was as follows; Stage 1 (rest from sport) was 26 +/- 5 days, Stage 2 (to achieve pain free running), 18 +/- 5 days, Stage 3 (squad training) 63 +/- 7, Stage 4 (return to competition) 86 +/- 15. Soccer players took longer to return to competition than basketball and rugby players. No recurrences were reported at 2 year follow-up.

CONCLUSION:

The protocol presented ensures a safe return to elite athletes. The time from diagnosis to full recovery is longer in football players, and seems to increase with age.

KEYWORDS:

Lumbo-pelvic stabilization; Osteitis pubis; Rehabilitation; sport

PMID:
25147768
PMCID:
PMC4140431

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