Abstract: Osteitis pubis is a common cause of chronic groin pain, especially in athletes. Although a precise etiology is not defined, it seems to be related to muscular imbalance and pelvic instability. Diagnosis is based on detailed history, clinical evaluation, and imaging, which are crucial for a correct diagnosis and proper management. Many different therapeutic approaches have been proposed for osteitis pubis; conservative treatment represents the first-line approach and provides good results in most patients, especially if based on an individualized multimodal rehabilitative management. Different surgical options have been also described, but they should be reserved to recalcitrant cases. In this review, a critical analysis of the literature about athletic osteitis pubis is performed, especially focusing on its diagnostic and therapeutic management.

Keywords: osteitis pubis, pubalgia, groin pain, rehabilitation, review



中文翻译：

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运动员耻骨炎的管理：康复和恢复训练–最新文献回顾

摘要：耻骨炎是慢性腹股沟疼痛的常见原因，尤其是在运动员中。尽管没有明确的病因，但似乎与肌肉失衡和骨盆不稳有关。诊断基于详细的病史，临床评估和影像学，这对于正确诊断和正确管理至关重要。对于耻骨炎，已经提出了许多不同的治疗方法。保守治疗代表一线治疗方法，在大多数患者中均能获得良好的效果，尤其是在基于个性化多模式康复治疗的情况下。还描述了不同的手术选择，但应将其保留用于顽固的病例。在这篇综述中，对有关耻骨性运动性骨炎的文献进行了批判性分析，尤其侧重于其诊断和治疗管理。

关键词：耻骨炎，耻骨痛，腹股沟痛，康复，复习