Pubalgie (of the Greek algos : pain): pain of the Pubis. This term recovers several different pathological processes which have all their seat on the level of the pubis.

• Pubalgie of the sportsman: who corresponds to a tendinitis of one of the many abdominal muscles which end in a fibrous blade (white line, musculus rectus abdominis, oblique. ) or of the thigh (Delivery Supply main, . ) which comes to fit on the ilio-pubic wing. This ignition must with a repeated request and traumatisante of the accused tendon. (footballer: attack attends especially supply mains, or many delivery; fencer: delivery)
• Ostéïte pubic: reached pubic symphyse or ignition (périoste or bone) of the ilio-pubic branch.
• Fracture of the ilio-pubic branch after direct shock or falls (prone old).

Pubalgie of the sportsman

Described in 1932 by Spinelli in an article on a new disease of the sportsmen: the pubalgie of the fencer. It is a pathology frequently met in the footballers who, by repeating the microtraumatisms and the shootings violent one with the leg (shots), support a tendineuse attack of the muscles of the leg (especially the adductors and delivery) and of some beams of the antérolatéraux abdominal muscles, caused by the repeated efforts (as for the épicondylite for the elbow), on the level of their pubic insertion where develops an inflammatory phenomenon. The fencer and the haltérophile are also sportsmen who can be reached by this type of tendinite.
A meeting of heating before an physical effort and a meeting of stretchings after this one makes it possible to limit the risks of occurred of the pubalgie.

Treatment

• Rest
• Medical care:
• Antalgic (Paracetamol)
• Anti-inflammatory drugs AINS
• Physiotherapy:

The treatment is done according to two axes:

• To rebalance the muscular balance by decreasing the abnormal stiffness of the supply mains.
• To reinforce the abdominal strap .

In the event of failure a surgical solution perhaps considered.

Pubic Ostéïte

It was described for the first time by Beer in 1924. Ostéites of the pubis themselves, noninfectious, and osteomyelitides of the pubis which has an infectious origin, have comparable symptoms and treatments.
In English ()
They can be déclanchées after an surgical operation in the area of the Périnée or of the low-abdomen, one can also find some with the waning of a difficult childbirth with suffering and excessive request on the level of the pubic symphyse at the time of the childbirth: the pubic symphyse which is “fibro-cartilage” tears under the effort and can ignite then to be possibly infected.

Among the other causes, one can quote: the infections (Prostatitis, Pyelonephritis), and causes rhumatologic (Polyarthritis rhumatoide, Spondylarthrite ankylosante)

Treatment

The treatment depends on the cause: antibiotics, rest, analgesics even AINS.

Fracture

This fracture is without gravity if it occurs after a fall its height (old subject); it causes a pubalgie during 3 to 4 weeks. The interrogation makes it possible to find the concept of fall and the age of the subject makes it possible to draw aside a pubalgie of sportsman; radiography will come to confirm the feature of fracture.

Bonds

1. Rhumatologie
2. Sport and Médecine
3. Discussion forum of people who suffer

from it

References

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