A 17-year-old male right-footed footballer presented with a 6-month history of left-sided groin pain which was persistent despite resting for 6 weeks. Pain occurred during running and daily activities including climbing the stairs and turning over in bed. On examination, the cardinal findings were tenderness of the pubic bone near the adductor insertion on the left side and pubic pain during resisted adduction. An initial pelvic radiograph was suboptimal due to overlying bowel gas but did show minor cortical irregularities (arrow, figure 1A) and features of an immature pubic symphysis including non-fused apophysis on the inferior side of the pubic symphysis and lower region joint lines are not yet fully ossified. MRI examination showed features, together with the clinical findings, that are typical for pubic apophysitis. There was bilateral extensive bone marrow oedema of the whole part shown of the pubic symphysis (arrow, figure 1B) on the coronal fat-suppressed sequence. A more focal high fluid signal along the left apophysis was also seen (arrow, figure 1C). Cortical irregularity on the left side with cystic and erosion-like configurations and widening of the pubic symphysis …

中文翻译：

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耻骨突炎 – 年轻运动员腹股沟疼痛的重要原因


一名 17 岁男性右脚足球运动员，左侧腹股沟疼痛病史 6 个月，休息 6 周后仍持续存在。跑步和日常活动（包括爬楼梯和在床上翻身）时出现疼痛。经检查，主要发现左侧内收肌插入点附近的耻骨压痛和抵抗内收时耻骨疼痛。由于肠气覆盖，初始盆腔 X 线片不理想，但确实显示轻微的皮质不规则（箭头，图 1A）和未成熟耻骨联合的特征，包括耻骨联合下侧未融合的骨突和下部区域关节线尚未完全骨化。MRI 检查显示耻骨突炎的典型特征和临床表现。冠状脂肪抑制序列上耻骨联合 （箭头，图 1B） 显示整个部分的双侧广泛性骨髓水肿。还观察到沿左侧骨突的更局灶性高液体信号（箭头，图 1C）。左侧皮质不规则，伴有囊性和糜烂样构型，耻骨联合增宽 ...