Table 5

Pubic symphysis (PS) osteomyelitis

ArticleAge (years)GenderSportTemperature (°C)Inflammatory markersBlood cultureAspiratex-RayBone scanCTMRITxComplicationReturn to sport
Ukwu21MFootball38.7WBC 8400; ESR 61NPStaphylococcus aureusNPPositiveRight side PS bony irregularityNPIntravenous ABX 2 weeks then postoperative ABX ×4 monthsRe-occurrence after 5 months with/debridement of abscess, intravenous nafcilin × 2 weeks then intravenous clindamycin ×2 weeksNS
Ukwu43MRunning39.4WBC 6900; ESR 61S aureusNPNP+ Indium WBCNormalNPIntravenous ABX × 6 weeksNoneNS
Ukwu31MRunning39.4WBC 13100; ESR 94NegativeNPCortical bone erosionPositiveNormalNPIntravenous ABX ×8 weeksNone
Karpos21MFootball39.2WBC 12100; ESR 19S aureusS aureusSclerosisNormalNormalPS oedemaIntravenous ABX × 6 weeksNoneRunning after 4 months, full recovery by 6 months
Baril40MRunning40.0WBC 13600; CRP 170S aureusNPNPPositiveNormalP.S. oedemaIntra venous ABX (unknown duration)NoneFull recovery by 3 months
Combs48MWeight lifting39.3WBC 16300; ESR 81S aureusNPNormalPositiveNPRight side PS oedemaIntra venous ABX ×6 weeksNoneFull recovery by 3 months
Sanchez16MSoccer38.5WBC NS; ESR 78; CRP 111; CPK 1027Fusobacterium necrophorumNegativeNormalNPBony erosions and lytic lesions of PSPS oedemaIntravenous ABX unspecified, Postoperative ABX ×6 weeksNoneNS
Pauli23MFootball/tennis38.0WBC 11200; ESR 28; CRP 269NPS aureusSclerosis, bony destruction of PSPositiveNPLeft >right PS oedemaIntravenous ABX × 10 days, postoperative ABX × 4 weeksNoneFull recovery by 4 months
Meirovitz21MSoldier38.5WBC 6300; ESR 66NegativeS epidermidisOsteolytic lesionsPositiveLeft sided osteolytic areaNPIntravenous ABX × 6 weeksNoneFull recovery by 6 weeks
Pham17MTennis/soccer38.3WBC 12400; ESR 109; CRP 11.6NPNPDeformity of right PSPositiveNPRight sided PS oedemaIntravenous ABX × 6 weeksNoneFull recovery by 3 months
  • CPK, creatinine phosphokinase; CRP, C-reactive protein; ESR, erythrocyte sedimentation; NP, not provided; NS, not specified.