Treatment of osteitis pubis in athletes using surgical correction
| Article | Subjects | Age (years) | Sport | Symptom duration preoperatively | Type of surgery | Return to play | Complications |
|---|---|---|---|---|---|---|---|
| Williams | 7 M | Mean 24.7 | Rugby | Mean 26.6 months | Arthrodesis of pubic symphysis by bone grafting supplemented by compression plate | 6.6 months | One patient with/haemospermia postoperatively for 6 weeks |
| One patient with/intermittent scrotal swelling with/exercise for 6 months | |||||||
| Vitanzo | 1 M | 39 | Not specified | 6 years | Fusion/stabilisation of symphysis pubis | Not specified | None |
| Mulhall | 2 M | Mean 25.5 | Soccer | Mean 1.25 years | Curettage of the pubic | 6 months | None |
| Paajanen (2004) | 5 M | Mean 27.5 (four athletes) | Soccer2 | Mean 8.7 months (three athletes) | Polypropylene mesh placed into preperitoneal retropubic space | Mean 6 weeks | None |
| Skier4 | |||||||
| Bandy player4 | |||||||
| Radic | 22 M 1 F | Mean 27.04 | Australian rules football22 | Mean 13. 2 months | Curettage of the pubic symphysis | 16 out of 23 athletes: mean 5.6 months | One athlete who returned to play at 3 months developed recurrent symptoms at 11 months and underwent surgical fusion |
| Soccer3 | |||||||
| Touch rugby13 | |||||||
| Field hockey4 | |||||||
| Paaganen (2007) | 14 M 2 F | Mean 30 (eight surgical) Mean 22 (eight non-surgical) | Soccer16 Cross country4 Running4 Ice hockey4 | 16 months (surgical) 6 months (non-surgical) | Polypropylene mesh placed into preperitoneal retropubic space | Seven out of eight athletes (surgical): within 2 months Four out of eight athletes (non-surgical): mean | One athlete in the surgical group had persistent symptoms and required pubic drilling before full return to sport |