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Symphysis Pubis Intra-Articular Procedures

  • Philip Robinson
Chapter

Abstract

The injection procedures for the symphysis pubis, intra- and peri-articular pathologies are reviewed.

The technical principles of intra-articular symphysis pubis and localised soft tissue adductor injection for therapeutic reasons are discussed. Indications, anatomy, techniques (fluoroscopic and ultrasound), approach, choice of equipment, quantity of pharmaceuticals and appropriate aftercare as well as possible procedure-related symptoms are discussed.

Abbreviations

G

Gauge

PRP

Platelet-rich plasma

Rab

Rectus abdominis

SP

Symphysis pubis

US

Ultrasound

References

  1. 1.
    Robinson P, Bhat V, English B. Imaging in the assessment and management of athletic pubalgia. Semin Musculoskelet Radiol. 2011;15(1):14–26.CrossRefPubMedGoogle Scholar
  2. 2.
    Schilders E, Bismil Q, Robinson P, O'Connor PJ, Gibbon WW, Talbot JC. Adductor-related groin pain in competitive athletes. Role of adductor enthesis, magnetic resonance imaging, and entheseal pubic cleft injections. J Bone Joint Surg Am. 2007;89(10):2173–8.PubMedGoogle Scholar
  3. 3.
    Brennan D, O'Connell MJ, Ryan M, Cunningham P, Taylor D, Cronin C, et al. Secondary cleft sign as a marker of injury in athletes with groin pain: MR image appearance and interpretation. Radiology. 2005;235(1):162–7.CrossRefPubMedGoogle Scholar
  4. 4.
    Robinson P, Salehi F, Grainger A, Clemence M, Schilders E, O’Connor P, et al. Cadaveric and MRI study of the musculotendinous contributions to the capsule of the symphysis pubis. Am J Roentgenol. 2007;188(5):W440–5.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Leeds Teaching Hospitals and Leeds Musculoskeletal Biomedical Research Centre, Chapel Allerton HospitalLeedsUK

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