Osteitis pubis: a clinical challenge

Mechanical pain in the region of the groin poses an interesting and at times confusing clinical dilemma. This is especially true for osteitis pubis, an inflammatory condition affecting the symphysis pubis. Recently it has been recognized as a potential source of pain in athletes. In this report, we will review the typical presentation of osteitis pubis, including the clinical, examination and radiographic features of this condition. A proposed plan of management, based on previous work on avulsion injuries is presented. A case report has been included to illustrate the salient features.