Osteitis Pubis and Marrow Edema

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Osteitis pubis (inflammation of the pubic symphysis) is generally associated with mechanical shear stresses, although direct traumatic and infectious etiologies have been described. It affects many different types of athletes including

Mri Image Inguinal Region

Fig. 18. Axial fluid-sensitive image showing asymmetric edema on the left in the inguinal region compatible with history of athletic pubalgia (A). Coronal IR image demonstrating edema of pubic bones bilaterally (arrows), which came by an incidental finding but this professional baseball catcher had the typical clinical findings of osteitis pubis (B).

Athletic Pubalgia

Fig. 18. Axial fluid-sensitive image showing asymmetric edema on the left in the inguinal region compatible with history of athletic pubalgia (A). Coronal IR image demonstrating edema of pubic bones bilaterally (arrows), which came by an incidental finding but this professional baseball catcher had the typical clinical findings of osteitis pubis (B).

runners, soccer players, and hockey players [7]. Since radiographic findings such as sclerosis, irregular margins, small osteophytes, and subchondral cystic changes may be seen in asymptomatic individuals, image-guided symphyseal cleft injections may help diagnosis and provide symptom relief [76]. Nuclear medicine scintigraphy may also show increased uptake but this finding is nonspecific.

Some studies have found that bone marrow edema of pubis is seen on 56% to 77% of athletes with groin pain [61,77]. One clinical study evaluated the MR findings of pubic bone abnormalities and effect on missed training and games. Fifty-two Australian Rules footballers were assessed in the preseason and followed during the subsequent season. Marrow edema greater than 2 cm in length was not associated with pain or missed training or games. Linear hyper-intense signal parallel to pubic symphysis was associated with missed training time but not missed games. This finding may be related to shear injury of pubic symphysis. Only the clinical finding of pubic pain was associated with missed games.

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Baseball For Boys

Baseball For Boys

Since World War II, there has been a tremendous change in the makeup and direction of kid baseball, as it is called. Adults, showing an unprecedented interest in the activity, have initiated and developed programs in thousands of towns across the United States programs that providebr wholesome recreation for millions of youngsters and are often a source of pride and joy to the community in which they exist.

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