Table 5.
Pubic symphysis (PS) osteomyelitis
| Article | Age (years) |
Gender | Sport | Temperature (°C) |
Inflammatory markers |
Blood culture | Aspirate | x-Ray | Bone scan | CT | MRI | Tx | Complication | Return to sport |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ukwu | 21 | M | Football | 38.7 | WBC8400; ESR61 |
NP |
Staphylococcus aureus |
NP | Positive | Right side PS bony irregularity |
NP | Intravenous ABX 2 weeks then postop- erative ABX x4 months |
Re-occurrence after 5 months with/debride- ment of abscess, intravenous naf- cilin × 2 weeks then intravenous clindamycin x2 weeks |
NS |
| Ukwu | 43 | M | Running | 39.4 | WBC6900; ESR61 |
S aureus | NP | NP | + Indium WBC |
Normal | NP | Intravenous ABX × 6 weeks |
None | NS |
| Ukwu | 31 | M | Running | 39.4 | WBC 13100; ESR94 |
Negative | NP | Cortical bone erosion |
Positive | Normal | NP | Intravenous ABX × 8 weeks |
None | |
| Karpos | 21 | M | Football | 39.2 | WBC 12100; ESR19 |
S aureus | S aureus | Sclerosis | Normal | Normal | PS oedema | Intravenous ABX × 6 weeks |
None | Running after 4 months, full recovery by 6 months |
| Baril | 40 | M | Running | 40.0 | WBC 13600; CRP170 |
S aureus | NP | NP | Positive | Normal | P.S. oedema | Intravenous ABX (unknown duration) |
None | Full recovery by 3 months |
| Combs | 48 | M | Weight lifting | 39.3 | WBC 16300; ESR81 |
S aureus | NP | Normal | Positive | NP | Right side PS oedema |
Intravenous ABX × 6 weeks |
None | Full recovery by 3 months |
| Sanchez | 16 | M | Soccer | 38.5 | WBC NS; ESR 78; CRP 111; CPK1027 |
Fusobacterium necrophorum |
Negative | Normal | NP | Bony ero- sions and lytic lesions of PS |
PS oedema | Intravenous ABX unspecified, Postoperative ABX × 6 weeks |
None | NS |
| Pauli | 23 | M | Football/ tennis |
38.0 | WBC 11200; ESR 28; CRP 269 |
NP | S, aureus | Sclerosis, bony destruc- tion of PS |
Positive | NP | Left >right PS oedema |
Intravenous ABX × 10 days, postoperative ABX × 4 weeks |
None | Full recovery by 4 months |
| Meirovitz | 21 | M | Soldier | 38.5 | WBC 6300; ESR 66 |
Negative | S epidermidis | Osteolytic lesions |
Positive | Left sided osteolytic area |
NP | Intravenous ABX × 6 weeks |
None | Full recovery by 6 weeks |
| Pham | 17 | M | Tennis/soccer | 38.3 | WBC 12400; ESR 109; CRP 11.6 |
NP | NP | Deformity of right PS |
Positive | NP | Right sided PS oedema |
Intravenous ABX × 6 weeks |
None | Full recovery by 3 months |
CPK, creatinine phosphokinase; CRP, C-reactive protein; ESR, erythrocyte sedimentation; NP, not provided; NS, not specified.