Spectrum of MRI findings in clinical athletic pubalgia

Donald C. Zajick, Adam C. Zoga, Imran M. Omar, William C. Meyers

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations


Athletic pubalgia is a frequently encountered syndrome for clinicians who treat active patients participating in a wide variety of athletic endeavors worldwide. Pathologies associated with this clinical scenario span anatomically from the pubic symphysis to the hip and include a myriad of poorly understood and incompletely described musculoskeletal entities, many of which are centered about the pubic symphysis and its tendinous attachments. In this article, we discuss the relevant anatomy and pathophysiology for the most frequently encountered of these disorders, using magnetic resonance (MR) images as a guide. We describe an MR imaging protocol tailored to clinical athletic pubalgia. We then review reproducible MRI patterns of pathology about the pubic symphysis, the rectus abdominis/adductor aponeurosis and the inguinal ring, as well as a group of clinically confounding entities remote from the symphysis but visible by MRI.

Original languageEnglish (US)
Pages (from-to)3-12
Number of pages10
JournalSeminars in Musculoskeletal Radiology
Issue number1
StatePublished - Mar 1 2008


  • Athletes' groin
  • Groin pain
  • Magnetic resonance imaging
  • Osteitis pubis
  • Pubalgia
  • Sports hernia

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Surgery


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