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 characterised by non-infectious inflammation of the pubic symphysis. The most common causes are pregnancy/childbirth, high-level athletic activity, urological or gynaecological surgery, trauma and psoriatic arthritis, though the aetiology 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
Case created: 24th Apr 2015
Last edited: 6th Nov 2015
Inclusion in quiz mode: Included

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