Abstract
BackgroundOsteitis pubis (OP) is a common source of groin and extra-articular hip pain and is associated with intra-articular hip pathology. In this study, we aimed to determine the prevalence of osteitis pubis on magnetic resonance imaging (MRI) in non-athletic patients with cam-type femoroacetabular impingement (FAI).MethodsThis retrospective cross-sectional study included 178 subjects: 90 patients with cam-type FAI diagnosed by MRI and 88 subjects used as a control group. Additionally, their MRI data were analyzed for the characteristics of osteitis pubis, with severity graded from minimal to severe on a four-point scale.ResultsA total of 98 patients and 88 controls were studied. Seventy-two males (80%) and 18 females (20%) were the patient group, whereas 71 males (80.68%) and 17 females (19.32%) were the control group. The mean alpha angle of the patients with FAI was 65.8 ± 3.3° in the right side and 66.2 ± 3.2° in the left side, whereas in the control group, it was 47 ± 5.6° in the right side and 47.8 ± 5.2° in the left side. Alpha angle measurements were significantly higher in the patient group than the control group (p < 0.001). A statistically significant increase in the prevalence of osteitis pubis was found in patients with cam-type FAI (45.56%) compared to control subjects (5.68%) (p < 0.001).ConclusionsThis study demonstrated that the frequency of osteitis pubis was increased in non-athletic patients with FAI syndrome. Further studies are required to determine whether these findings reflect the clinical symptoms in patients with hip pain.
Highlights
Osteitis pubis (OP) is a common source of groin and extra-articular hip pain and is associated with intra-articular hip pathology
Ninety patients with cam-type femoroacetabular impingement (FAI) diagnosed by magnetic resonance imaging (MRI) and 88 age- and sex-matched control subjects were
A statistically significant increase in the prevalence of osteitis pubis was found in patients with FAI compared with the agematched control group, with a prevalence of 45.56% in the FAI group compared to 5.68% in the control group (p < 0.001) (Table 2)
Summary
Osteitis pubis (OP) is a common source of groin and extra-articular hip pain and is associated with intra-articular hip pathology. Osteitis pubis (OP) is a common source of groin and extra-articular hip pain and is associated with intraarticular hip pathology [6,7,8,9]. Some research has shown that restricted hip ROM results in hip stiffness that induces increased stress over the superior pubic ramus and pubic symphysis, and results in a bony stress response [10, 11]. This association is described mostly in elite-level athletes. This study aimed to search for the coexistence of osteitis pubis and cam-type FAI in a non-athletic population
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
