Osteitis pubis

Case contributed by Dr Laughlin Dawes
X-ray

Osteitis pubis with subchondral erosive change, joint irregularity and sclerosis of the pubic symphysis. 

Case Discussion

Osteitis pubis is characterized by non-infectious inflammation of the pubic symphysis. The most common causes are pregnancy/childbirth, high-level athletic activity, urological or gynecological surgery, trauma and psoriatic arthritis, though the etiology is sometimes unknown.

The x-ray findings are subchondral erosive change, joint irregularity and sclerosis, which may eventually lead to ankylosis. The main differential diagnoses are infection and hyperparathyroidism, the latter due to bone resorption.

Image courtesy of Dr Donna D'Souza.

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Case information

rID: 36028
Published: 12th May 2015
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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