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[Symphysitis - what is recommended?].

MMW Fortschr Med

October 2024

Klinik für Orthopädie und Unfallchirurgie, Sektion Muskuloskelettale Forschung, Klinikum Fichtelgebirge gGmbH - Haus Marktredwitz, Schillerhain 1-8, 95615, Marktredwitz, Deutschland.

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Article Synopsis
  • - Osteitis condensans ilii (OCI) is a rare, benign cause of lower back pain mainly seen in women, often mistaken for sacroiliac joint issues, but it typically resolves on its own after childbirth.
  • - Osteitis pubis is an inflammatory condition causing pain in the pubic area, often resulting from trauma, surgery, or intense physical activity, and can occur alongside OCI.
  • - A case study involving a 21-year-old female highlights the use of MRI to diagnose both OCI and osteitis pubis, showing distinct imaging characteristics, but no specific treatment exists—only lifestyle changes may help manage symptoms and prevent recurrence.
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Article Synopsis
  • * A case involving a 16-year-old showed elevated inflammatory markers and imaging revealed significant bone damage and infections in the pubic area.
  • * The patient responded well to a 2-month antibiotic treatment, highlighting the importance of early diagnosis and intervention to improve recovery outcomes.
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Article Synopsis
  • * While OP is typically self-limiting, some cases can involve long-lasting symptoms that require treatment.
  • * A case study is presented of a 63-year-old male who received a steroid injection after unsuccessful pain relief from NSAIDs following prostate surgery, resulting in significant pain reduction for three months.
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Article Synopsis
  • Pain in the pubic symphysis can be challenging to diagnose and treat, especially in patients with refractory osteoarthritis, highlighting a lack of consensus on effective therapies.
  • Two elderly women with severe osteoarthritis had unsuccessful treatments before undergoing surgical arthrodesis using a subpubic plate and grafts.
  • After one year, both patients showed significant improvement, suggesting that arthrodesis is a viable long-term surgical option for managing chronic cases of pubic symphysis osteoarthritis.
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