Skip to main content

Extraarticular Sources of Hip Pain

  • Chapter
Operative Hip Arthroscopy

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abrams, M Sedlezky I, Stearns DB: Osteitis pubis. N Engl J Med 1949;240:637–641.

    Article  PubMed  CAS  Google Scholar 

  2. Coventry MB, William MC: Osteitis pubis: observations based on a study of 45 patients. JAMA 1961;178:898–905.

    PubMed  CAS  Google Scholar 

  3. Gamble JG, Simmons SC, Freedman M: The symphysis pubis. Anatomic and pathologic considerations. Clin Orthop 1986;203:261–272.

    PubMed  Google Scholar 

  4. Harris NH, Murray RG: Lesions of the symphysis pubis in athletes. In: Proceedings of the British Orthopaedic Association. J Bone Joint Surg [Br] 1974;56:563–564.

    Google Scholar 

  5. Lentz SSV: Osteitis pubis: a review. Obstet Gynecol Surg 1995;50:310–315.

    Article  CAS  Google Scholar 

  6. Leagueu MB, Rochet WL: Les cellulites perivesicales et pelviennes après certaines cystostomies ou prostatectomies suspubiennes. J Urol Med Chir 1923;15:1–11.

    Google Scholar 

  7. Beer E: Periostitis and ostitis of symphysis and rami of pubis following suprapubic cystotomies. J Urol 1928;20:233–236.

    Google Scholar 

  8. Grace JN, Sim FH, Shives TC, Coventry MB: Wedge resection of the symphysis pubis for the treatment of osteitis pubis. J Bone Joint Surg [Am] 1989;71:358–364.

    PubMed  CAS  Google Scholar 

  9. Fricker P, Taunton J, Ammann W: Osteitis pubis in athletes: infection, inflammatory or injury? Sports Med 1991;12: 266–279.

    PubMed  CAS  Google Scholar 

  10. Major NM, Helms CA: Pelvic stress injuries: the relationship between osteitis pubis (symphysis pubis stress injury) and sacroiliac abnormalities in athletes. Skeletal Radiol 1997;26: 711–717.

    Article  PubMed  CAS  Google Scholar 

  11. Verral GM, Slavotinek JP, Fon GT: Incidence of pubic bone marrow oedema in Australian rules football players: relationship to groin pain. Br J Sports Med 2000;35:28–33.

    Article  Google Scholar 

  12. Benson ER, Schutzer SF: Posttraumatic piriformis syndrome: diagnosis and results of operative treatment. J Bone Joint Surg [Am] 1999;81:941–949.

    Article  PubMed  CAS  Google Scholar 

  13. Chamberlain W: The symphysis pubis in the roentgenol examination of the sacro-iliac joint Am J Roentgenol 1930;24:621–625.

    Google Scholar 

  14. Miguel A: Groin pain and adductor muscle release. Presented at the International Football and Sports Medicine Conference, Los Angeles, CA, March 22–24, 2002.

    Google Scholar 

  15. Spinelli A: Nuova malattia sportive. La pubialgia degli schemitori. Ortopedia e Traumatologia Dell Apparto Motore 1932;4: 111–127.

    Google Scholar 

  16. Wiley JJ: Traumatic osteitis pubis: the gracilis syndrome. Am J Sports Med 1983;11:360–363.

    PubMed  CAS  Google Scholar 

  17. Holt MA, Keene JS, Graf BK, Helwig DC: Treatment of osteitis pubis in athletes. Results of corticosteroid injections. Am J Sports Med 1995;23:601–606.

    PubMed  CAS  Google Scholar 

  18. Walheim G, Olerun S, Ribbe T: Mobility of the pubic symphysis measurements by an electromechanical method. Acta Orthop Scand 1984;55:20–208.

    Google Scholar 

  19. Ekberg O, Blomquist P, Olsson S: Positive contrast herniography in adult patients with obscure groin pain. Surgery (St. Louis) 1981;89:532–535.

    PubMed  CAS  Google Scholar 

  20. Hanson PG, Angive, Juhl J: Osteitis pubis in sports activities. Physician Sportsmed 1978;10:111–114.

    Google Scholar 

  21. Sequeira W, Jones E, Siegal M, Lorenz M, Kallick C: Pyogenic infections of the pubic symphysis. Ann Intern Med 1982;96:60–66.

    Google Scholar 

  22. Renstrom P: Pelvic and groin injuries: an overview. Presented at the International Football and Sports Medicine Conference, Los Angeles, CA, March 22–24, 2002.

    Google Scholar 

  23. Williams PR, Thomas DP, Downes EM: Osteitis pubis and instability of the pubic symphysis. When nonoperative measures fail. Am J Sports Med 2000;28:350–255.

    PubMed  CAS  Google Scholar 

  24. Goldstein AE, Rubin SW: Osteitis pubis following suprapubic prostatectomy. Am J Surg 1947;74:480.

    Article  PubMed  CAS  Google Scholar 

  25. Stutter BD: Complications of osteitis pubis including report of case of sequestrum formation giving rise to persistent purulent urethritis. Br J Surg 1954;42;164–172.

    PubMed  CAS  Google Scholar 

  26. Watkin NA, Gallegos CR, Moisey CU: Osteitis pubis. A case of successful treatment with anticoagulants. Acta Orthop Scand 1995;66:569–570.

    PubMed  CAS  Google Scholar 

  27. Waters P, Millis M: Hip and pelvic injuries in the young athlete. Clin Sports Med 1988;7:513–526.

    PubMed  CAS  Google Scholar 

  28. Miller J, Schultz A, Anderson G: Load displacement behavior of the sacroiliac joints. Orthop Res 1987;5:92–101.

    Article  CAS  Google Scholar 

  29. Briggs RC, Kolbjornsen PH, Southall RC: Clin Nucl Med 1992;17:861–863.

    PubMed  CAS  Google Scholar 

  30. Smodlaka VN: Groin pain in soccer players. Physician Sports Med 1980;8:57–61.

    Google Scholar 

  31. Lynch SA, Renstrom P: Groin injuries in sports: treatment strategies. Sports Med 1999;28:137–144.

    Article  PubMed  CAS  Google Scholar 

  32. Taylor DC, Meyers WC, Moylans JA, Lohnes J, Basset FH, Garrett WE: Abdominal musculature abnormalities as a cause of groin pan in athletes; inguinal hernias and pubalgia. Am J Sports Med 1991;19:239–242.

    PubMed  CAS  Google Scholar 

  33. Smedberg SGG, Broome AEA, Gullmo A, Roos H: Herniography in athletes with groin pain. Am J Surg 1985;149:378–382.

    PubMed  CAS  Google Scholar 

  34. Gilmore J: Groin pain in the soccer athlete: fact, fiction, and treatment. Clin Sports Med 1998;17:787–793.

    Article  PubMed  CAS  Google Scholar 

  35. Akita K, Niga S, Yamato Y, Muneta T, Sato T: Anatomic basis of chronic groin pain with special reference to sports hernia. Surg Radiol Anat 1999;21:1–5.

    PubMed  CAS  Google Scholar 

  36. Bradshaw C, McCrory P, Bell S, Brunkner P: Obturator nerve entrapment. A cause of groin pain in athletes. Am J Sports Med 1997;25:402–408.

    PubMed  CAS  Google Scholar 

  37. Lee CH, Dellon AL: Surgical management of groin pain of neural origin. J Am Coll Surg 2000;191:137–142.

    Article  PubMed  CAS  Google Scholar 

  38. Sexton DJ, Heskestad L, Lambeth WR, McCallum R, Levin LS, Corey GR: Postoperative pubic osteomyelitis misdiagnosed as osteitis pubis: report of four cases and review. Clin Infect Dis 1993;17:695–700.

    PubMed  CAS  Google Scholar 

  39. Sutro CJ: The pubic bones and their symphysis. Arch Surg 1936;32:823.

    Google Scholar 

  40. Holmich P, Uhrskou P, Ulnits L, et al: Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial. Lancet 1999;353(9151):439–443.

    Article  PubMed  CAS  Google Scholar 

  41. Moore RS, Stover MD, Matta JM: Late posterior instability of the pelvis after resection of the symphysis pubis for the treatment of osteitis pubis. J Bone Joint Surg [Am] 1998;80:1043–1048.

    Article  PubMed  Google Scholar 

  42. Papadopoulos AM, McGillicuddy JE, Albers JA: Unusual causes of piriformis muscle syndrome. Arch Neurol 1990;47:1144–1146.

    PubMed  CAS  Google Scholar 

  43. Freiberg AH, Vinke TH: Sciatica and the sacroiliac joint. J Bone Joint Surg 1934;16:126–139.

    Google Scholar 

  44. Rodrigue T, Hardy RW: Diagnosis and treatment of piriformis syndrome. Neurosurg Clin N Am 2001;12:311–319.

    PubMed  CAS  Google Scholar 

  45. Yeoman W: The relationship of arthritis of the sacroiliac joint to the sciatica. Lancet 1928;2:1119–1122.

    Article  Google Scholar 

  46. Edwards FO: Pyriformis syndrome. In: Yearbook of Selected Osteopathic Papers. Colorado Springs: American Academy of Osteopathy, 1962:39–41.

    Google Scholar 

  47. Beaton LE, Anson BJ: The relationship of the sciatic nerve and its subdivision to the piriformis muscle. J Bone Joint Surg 1938;20:686–688.

    Google Scholar 

  48. McCrory P: The “piriformis syndrome”: myth or reality? Br J Sports Med 2001;35:209–210.

    Article  PubMed  CAS  Google Scholar 

  49. Brown JA, Braun MA, Namey TC: Piriformis syndrome in a 10 year old boy as a complication or operation with the patient in the sitting position. Neurosurgery 1988;23:117–119.

    Article  PubMed  CAS  Google Scholar 

  50. Uchio Y, Nishikawa U, Ochi M, Shu N, Takata K: Bilateral piriformis syndrome after total hip arthroplasty. Arch Orthop Trauma Surg 1998;117:177–179.

    Article  PubMed  CAS  Google Scholar 

  51. Beauchesne RP, Schutzer SF: Myositis ossificans of the piriformis muscle; an unusual cause of piriformis syndrome. J Bone Joint Surg [Am] 1997;79:906–910.

    PubMed  CAS  Google Scholar 

  52. Chen WS: Bipartite piriformis muscle: an unusual cause of sciatic nerve entrapment. Pain 1994;58:269–272.

    Article  PubMed  CAS  Google Scholar 

  53. Hughes SS, Goldstein MN, Hick DG, Pellegrini VD: Extrapelvic compression of the sciatic nerve. J Bone Joint Surg [Am] 1992;74:1553–1559.

    PubMed  CAS  Google Scholar 

  54. Pace JB, Nagle D: Piriformis syndrome. West J Med 1976;124: 435–439.

    PubMed  CAS  Google Scholar 

  55. Robinson DR: Pyriformis syndrome in relation to sciatic pain. Am J Surg 1947;73:355–358.

    Article  PubMed  CAS  Google Scholar 

  56. Vandertop WP, Bosma NJ: The piriformis syndrome. J Bone Joint Surg [Am] 1991;73:1095–1097.

    PubMed  CAS  Google Scholar 

  57. Sayson SC, Ducey JP, Maybrey JB, Wesley RL, Vermilion D: Sciatic entrapment neuropathy associated with an anomalous piriformis muscle. Pain 1994;59:149–152.

    Article  PubMed  CAS  Google Scholar 

  58. Freiberg AH: Sciatic pain and its relief by operations on the muscle and fascia. Arch Surg 1937;34:337–350.

    Google Scholar 

  59. Mizuguchi T: Division of the piriformis muscle for the treatment of sciatica. Arch Surg 1976;111:719–722.

    PubMed  CAS  Google Scholar 

  60. Petersilge CA, Yoo JU, Boswell MV, et al: MR examination of the greater sciatic notch of patients with a clinical diagnosis of piriformis syndrome. J Radiology (in press).

    Google Scholar 

  61. Solheim LF, Siewers P, Paus B: The piriformis muscle syndrome. Sciatic nerve entrapment treated with section of the piriformis muscle. Acta Orthop Scand 1981;52:73–75.

    Article  PubMed  CAS  Google Scholar 

  62. Jankiewicz JJ, Hennrikus WL, Houkom JA: The appearance of the piriformis muscle syndrome in computed tomography and magnetic resonance imaging. Clin Orthop Relat Res 1991;262:2075–2079.

    Google Scholar 

  63. Rossi P, Cardinali P, Serrao M, Parisi L, Bianco F, De Bac S: Magnetic resonance imaging findings in piriformis syndrome: a case report. Arch Phys Med Rehabil 2001;82:519–521.

    Article  PubMed  CAS  Google Scholar 

  64. Fishman LM, Dombi GW, Michaelsen C, et al: Piriformis syndrome: diagnosis, treatment, and outcome-a 10-year study. Arch Phys Med Rehabil 2002;83:295–301.

    Article  PubMed  Google Scholar 

  65. Fishman LM, Zybert PA: Electrophysiologic evidence of piriformis syndrome. Arch Phys Med Rehabil 1992;73:359–364.

    Article  PubMed  CAS  Google Scholar 

  66. Karl RD Jr, Yedivach MA, Hartshome MF, et al: Scintigraphic appearance of the piriformis muscle syndrome Clin Nucl Med 1985;10:361–363.

    PubMed  Google Scholar 

  67. Synek V: Short latency somatosensory evoked potentials in patients with painful dysaesthesias in peripheral nerve lesions. Pain 1987;29:49–58.

    Article  PubMed  CAS  Google Scholar 

  68. Rask MR: Superior gluteal nerve entrapment syndrome. Muscle Nerve 1980;3:304–307.

    Article  PubMed  CAS  Google Scholar 

  69. Barton PM: Piriformis syndrome: a rational approach to management Pain 1991;47:345–352.

    Article  PubMed  CAS  Google Scholar 

  70. Kirkaldy-Willis WH, Hill RJ: A more precise diagnosis for low back pain. Spine 1979;4:102–109.

    PubMed  CAS  Google Scholar 

  71. Mullin V, de Rosayro M: Caudal steroid injection for treatment of piriformis syndrome. Anesth Analg 1990;7:705–707.

    Google Scholar 

  72. Fanucci E, Masala S, Sodani G, et al: CT-guided injection of botulinic toxin for percutaneous therapy of piriformis muscle syndrome with preliminary MRI results about denervative process. Eur Radiol 2001;11:2543–2548.

    Article  PubMed  CAS  Google Scholar 

  73. Gray H: Myology. In: Williams P, Warwick R (eds). Gray’ Anatomy, 36th ed. London: Churchill Livingstone, 1990:595–596.

    Google Scholar 

  74. Harvey G, Bell S: Obturator neuropathy. An anatomic perspective. Clin Orthop 1999;363:203–211.

    Article  PubMed  Google Scholar 

  75. Sorenson EJ, Chen JJ, Daube JR: Obturator neuropathy: causes and outcomes. Muscle Nerve 2002;25:605–607.

    Article  PubMed  Google Scholar 

  76. Kleiner JB, Thorne RP: Obturator neuropathy caused by an aneurism of the hypogastric artery. J Bone Joint Surg [Am] 1989;71:1408–1409.

    PubMed  CAS  Google Scholar 

  77. Kozlowski JM, Beal JM: Obturator hernia: an elusive diagnosis. Arch Surg 1977;112:1001–1002.

    PubMed  CAS  Google Scholar 

  78. Redwine DB, Sharpe DR: Endometriosis of the obturator nerve. A case report. J Reprod Med 1990;35:434–435.

    PubMed  CAS  Google Scholar 

  79. Rogers LR, Borkowski GP, Albers JW, Levin KH, Barohn RJ, Mitsumoto H: Obturator mononeuropathy caused by pelvic cancer: six cases. Neurology 1993;43:1489–1492.

    PubMed  CAS  Google Scholar 

  80. Bischoff C, Schonle PW: Obturator nerve injuries during intra-abdominal surgery. Clin Neurol Neurosurg 1991;93:73–76.

    Article  PubMed  CAS  Google Scholar 

  81. Pellegrino MJ, Johnson EW: Bilateral obturator nerve injuries during urologic surgery. Arch Phys Med Rehabil 1988;69:46–47.

    PubMed  CAS  Google Scholar 

  82. Siliski JM, Scott RD: Obturator nerve palsy resulting from intra-pelvic extrusion of cement during total hip replacement. Report of four cases. J Bone Joint Surg [Am] 1985;67:1225–1228.

    PubMed  CAS  Google Scholar 

  83. Warner MA, Warner DO, Harper CM, Schroeder DR, Maxson PM: Lower extremity neuropathies associated with lithotomy position. Anesthesiology 2000;93:938–942.

    Article  PubMed  CAS  Google Scholar 

  84. Peri G: The “critical zones” of entrapment of the nerves of the lower limb. Surg Radiol Anat 1991;13:139–143.

    Article  PubMed  CAS  Google Scholar 

  85. Busis N: Femoral and obturator neuropathies. Neurol Clin 1999;17:633–652.

    Article  PubMed  CAS  Google Scholar 

  86. Kimura J: Electrodiagnosis in Diseases of Nerve and Muscle. Principles and Practice, 2nd ed. Philadelphia: Davis, 1989:5506–509.

    Google Scholar 

  87. Anderson K, Strichland SM, Warren R: Hip and groin injuries in athletes. Am J Sports Med 2001;29:521–533.

    PubMed  CAS  Google Scholar 

  88. Harms BA, DeHaas DR, Starling JR: Diagnosing and management of genitofemoral neuralgia. Arch Surg 1984;119:339–341.

    PubMed  CAS  Google Scholar 

  89. Meyers WC, Foley DP, Garrett WE Jr, et al: Management of severe lower abdominal or inguinal pain in high-performance athletes. Am J Sports Med 2000;28:2–8.

    PubMed  CAS  Google Scholar 

  90. Meyers WC, Foley DP, Mandelbaum BR, et al: Successful management of severe lower abdominal or inguinal pain in high performance athletes. (Submitted manuscript).

    Google Scholar 

  91. Meyers WC, Lanfranco A, Castellanos A: Surgical management of chronic lower abdominal and groin pain in high-performance athletes. Curr Sports Med Rep 2002;I:301–305.

    Google Scholar 

  92. Meyers WC, Ricciardi R, Busconi BD, Mandelbaum BR, Waite RJ: Athletic pubalgia and groin pain. In: Principles and Practice of Orthopaedic Sports Medicine. 2000:223–230.

    Google Scholar 

  93. Hackney RG: The sports hernia: a cause of chronic groin pain. Br J Sports Med 1993;27:58–62.

    PubMed  CAS  Google Scholar 

  94. Pro Hockey Athletic Trainers Meeting, Salt Lake City, UT, June 21–24, 1997.

    Google Scholar 

  95. Gross ML, Nasser S, Finerman GAM: Hip and pelvis. In: DeLee JC, Drez DJ (eds). Orthopaedic Sports Medicine. Philadelphia: Saunders, 1994.

    Google Scholar 

  96. Anson BJ, Morgan EH, McVay CB: Surgical anatomy of the inguinal region based upon a study of 500 body-halves. Suvremenna Meditsina 1960;111:707–725.

    CAS  Google Scholar 

  97. Ingoldby CJH: Laparoscopic and conventional repair of groin disruption in sportsmen. Br J Surg 1997;84:213–215.

    Article  PubMed  CAS  Google Scholar 

  98. Williams P, Foster ME: Gilmore’ groin—or is it? Br J Sports Med 1995;29:206–208.

    PubMed  CAS  Google Scholar 

  99. Ashby EC: Chronic obscure groin pain is commonly caused by enthesopathy: ‘tennis elbow’ of the groin. Br J Surg 1994;81:1632–1634.

    PubMed  CAS  Google Scholar 

  100. Renstrom AFH: Tendon and muscle injuries in the groin area. Clin Sports Med 1992;11:815–830.

    PubMed  CAS  Google Scholar 

  101. Griffin LH: Sports Medicine. Rosemont, IL: American Academy of Orthopaedic Surgeons, 1994.

    Google Scholar 

  102. Puranen J, Orava S: The hamstring syndrome: a new diagnosis of gluteal sciatic pain. Am J Sports Med 1988;16:517–521.

    PubMed  CAS  Google Scholar 

  103. Puranen J, Orava S: The hamstring syndrome: a new gluteal sciatica. Ann Chir Gynaecol 1991;80:212–214.

    PubMed  CAS  Google Scholar 

  104. Busconi B, McCarthy J: Hip and pelvic injuries in the skeletally immature athlete. Sports Med Arthrosc Rev 1996;4:132–157.

    Article  Google Scholar 

  105. Knapp TP, Mandelbaum BR: Stress fractures. In: The U.S. Soccer Sports Medicine Book 327–345.

    Google Scholar 

  106. Renstrom P, Peterson L: Groin injuries in athletes. Br J Sports Med 1980;14:30–36.

    Article  PubMed  CAS  Google Scholar 

  107. Gilmore OJ: Gilmore’ groin—ten years of experience of groin disruption. Sports Med Soft Tissue Trauma 1992;3(3):.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer Science+Business Media, Inc.

About this chapter

Cite this chapter

Mora, S.A. et al. (2005). Extraarticular Sources of Hip Pain. In: Thomas Byrd, J. (eds) Operative Hip Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/0-387-27047-7_5

Download citation

  • DOI: https://doi.org/10.1007/0-387-27047-7_5

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-21011-7

  • Online ISBN: 978-0-387-27047-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics