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At least 19 recordsLinked to original sources

Osteoid osteoma of the pubic bone. Report of a case.

Osteoid osteoma involves the pubic bone in exceptional cases. In this case report, a 23 year-old male patient with osteoid osteoma of the pubic bone, was presented. He was complaining of right groin pain, occurring nocturnally and being relieved by rest and analgesics. Radiographic examination revealed a small lesion in the right pubic bone. The patient was treated surgically, and the nidus was excised. The result of the histopathological examination was "osteoid osteoma". At 1 year postoperatively, recurrence was not seen. It was concluded that, if osteoid osteoma was located in an unusual site, more detailed radiographic examination should be done for exact localization, before the operation.

Adult

Resection of the pubic bone as an adjunct to management of primary, recurrent, and metastatic pelvic malignancies.

Patients with locally advanced vulvovaginal carcinomas with pubic bone encroachment or fixation pose a treatment dilemma. The purpose of this study was to evaluate the outcome in 12 patients who have undergone pubic bone resection at the University of Minnesota as part of treatment of locally extensive primary, recurrent, or metastatic vulvovaginal carcinomas. Six patients with primary vulvar carcinomas and six patients with recurrent or metastatic vulvovaginal carcinomas underwent bone resection as part of their surgical therapy. Survival in the primary treatment group was 50%, with no local recurrences. Survival in the recurrent/metastatic disease group was 83%, with a follow-up time of 9 months to 15 years. One vulvar and one groin recurrence have occurred in the recurrent/metastatic group. Pubic bone resection added little to surgical morbidity and gave good functional results. Pubic bone resection, in combination with radical extirpative procedures, is an option for treatment of patients with locally extensive vulvovaginal carcinomas, particularly those with previous radiation therapy.

Adenocarcinoma

Adult females and pubic bone growth.

Previous research (Tague [1994] Am. J. Phys. Anthropol. 95:27-40) has shown an age effect in pubic bone length among adult women. Tague found that in three prehistoric Native American skeletal samples, women aged 18-24 had a significantly shorter linea terminalis than did women aged 25 and older. The purpose of this research is to determine whether such a difference can be discerned in other female skeletal samples. Three female skeletal samples were used in this analysis: 75 African-American and 42 European-American females aged 18-39 from the Hamann-Todd Collection (collected between 1893 and 1938; Iscan, 1990) and 99 African-American females aged 18-39 from the Terry Collection (collected between 1914 and 1965; Cobb, 1933; Iscan, 1990). Several chord measurements of pubic bone length along the linea terminalis were analyzed by one-tailed t-tests of the separate samples subdivided into two age groups: 18-24 and 25-39 years. Of 15 comparisons between age groups, none differed significantly by age group within each sample. It is concluded that the observed significant difference in pubic bone length in the Native American female skeletal samples cannot be replicated in other samples and that there is no age effect on pubic bone length in the samples tested in this analysis. Tague's findings reflect either the occurrence of late menarche in prehistoric populations or differential survivorship.

Adult

Pelvic osteotomies: anatomic pitfalls at the pubic bone. A cadaver study.

Pelvic osteotomies for acetabular dysplasia include an osteotomy of the pubic bone. The anatomical consequences of two different approaches to the pubic bone were assessed by performing a triple osteotomy on a series of 12 fresh cadaver hemipelvises. The medial approach through a separate incision over the pubic symphysis was compared with the lateral approach through the incision used for the innominate osteotomy. Although the medial approach appears technically easy, there are several anatomical structures at risk, such as the femoral vein and the corona mortis. The lateral approach is safer, and it is easier to make the osteotomy close to the hip joint. The closer the osteotomy is to the hip joint, the smaller the chance of developing a non-union.

Acetabulum

Pseudo-synovial cyst arising at the pubic bone region and forming a large femoral-inguinal mass.

We describe a patient with rheumatoid arthritis who presented a large femoral-inguinal mass. The mass proved to be a synovial cyst-like structure communicating with rigid cystic lesions at the pubic bone. No obvious communication between the cystic lesions and the hip joint or bursae was seen by hip arthrogram or in surgery. Pathological examination of the cystic lesion at the pubic bone revealed infiltration of multiple rheumatoid nodules with marked fibrinoid necrosis into the bone, with synovium-like tissue on it. However, no synovial tissue was observed in the femoral-inguinal mass. These findings suggest that the femoral-inguinal mass was not a true synovial cyst but can be called a pseudo-synovial cyst arising at the pubic bone region.

Aged

Pubic bone suburethral stabilization sling for recurrent urinary incontinence.

A suburethral sling anchored to the posterior-inferior aspect of the pubic bone with bone screws placed transvaginally is described for recurrent urinary incontinence. The technique involves placing a suburethral patch of a synthetic fiber at the junction of the upper one-third and lower two-thirds of the urethra and securing it by titanium bone screws to the posterior-inferior pubis for site-specific urethral support and stabilization of normally positioned continence anatomy. The procedure was performed from August 1990 through December 1991 in 27 patients with recurrent stress urinary incontinence after previous urinary incontinence surgery, of whom 25 patients were followed yearly until August 1994. None of these 25 patients have had a recurrence as of August 1996. The initial success of the pubic bone suburethral stabilization sling merits further study for the cure of urinary incontinence in patients with a hypermobile urethra or low-pressure urethral conditions.

Bone Screws

[The use of childbirth alterations of the pubic bone for identification (author's transl)].

This paper discusses whether parturition or the number of parturition events can be determined from certain gross alterations, which are caused by pregnancy and parturition, found around the symphysis area of the pubic bone. The study is based on the analysis of 49 pairs of pubic bones, for which the number of parturitions and/or abortions were known. No criteria were found to be useful for a clear forensic diagnosis. However, this investigation did show a certain probability of correlation between the extension of grooves on the posterior pubic cortex and the number of parturitions. Examples of remarkable misleading conclusions in special cases are given.

Adult

Osteolysis of the pubic bone simulating malignancy. A case report and review of literature.

A 78-year-old white female presented with groin pain of 3 months' duration. Radiographs revealed an osteolytic lesion in the pubic bone, simulating a malignancy or infection. A closed needle biopsy was performed and pathological findings were consistent with post-traumatic osteolysis, showing avascular necrotic tissues. A review of the literature found 16 previous cases presenting with groin pain and a radiographic lesion in the pubic bone that appeared malignant. All of the patients reported in the literature were postmenopausal women most with a recent history of trauma or increased physical activity. All of the lesions were benign and, when treated conservatively, usually resolved within 6 months.

Aged

[An unusual complication of fracture of the pubic bone: traumatic perforation of the small intestine].

A 79-year old woman experienced a pubic bone fracture without severe dislocation as a result of a minor trauma. On the same day of the accident the patient developed symptoms of an acute abdomen. During laparatomy a traumatic small bowel perforation, caused by the fracture, was found. The patient died of peritonitis and complications independent of the original trauma three weeks after the accident.

Abdomen, Acute

[Clinico-roentgenologic characteristics of postoperative osteitis of the pubic bones].

The paper is concerned with clinicoroentgenological analysis of postoperative osteitis of the pubic bones (OPB) in 29 patients with urological diseases. The development of OPB follows operative complications, mainly of pyoinflammatory type. Clinically OPB develops as a pyoinfectious process. X-ray signs present a picture of inert osteomyelitis of the pelvic bones, caused by low virulent urinary infection. Its characteristic feature is superficial spreading of osseous destruction to a large extent with the affection of the adjacent of the pelvic joints. The probable routes of infection dissemination are venous (in injury of the pelvic plexus veins) and by continuity (as a result of urinary pelvic cellulitis).

Cystectomy

The morphology of European and Southwest Asian Neandertal pubic bones.

Descriptions of Southwest Asian Neandertal os coxae have stressed the supero-inferior flattening and acetabulo-symphyseal elongation of the superior pubic rami. Further analysis of Neandertal pubes, including two European specimens. La Ferrassie I and Krapina 208, indicates that Neandertal pubes are distinguished primarily by a relative elongation of the superior rami. The supero-inferior flattening of the pubic rami with the formation of a distinct ventral border, present among the Southwest Asian Neandertals, is less pronounced among the European Neandertals. Neither sexual dimorphism nor biomechanical hypertrophy appears adequate to explain this morphological pattern of Neandertal pubic bones.

Asia, Western

Minimally invasive pervaginam procedures for the treatment of female stress incontinence using a new pubic bone anchoring system.

The purpose of this ongoing study is to evaluate the safety and efficacy of new minimally invasive pervaginam cystourethropexy and sling procedures for the treatment of female genuine stress urinary incontinence. A total of 75 women (mean age, 52.8 years) underwent either a cystourethropexy or a sling procedure. A miniature bone anchor and a staple-like bone anchor driver were used for the fixation of periurethral tissue or a xenogenic sling to the pubic bone. With a mean follow-up of eight months, 61 patients (82%) were completely cured of stress incontinence, 10 (14%) reported a more than 50% decrease in pad usage, and 4 patients showed failure early following surgery. The exclusively pervaginam cystourethropexy and sling procedures are minimally invasive, safe, and effective. Further experience and longer follow-up are necessary to establish their role in the treatment of women with stress urinary incontinence.

Adult

[Occlusion of the common femoral artery by traumatic disjunction of the pubic bones. A case of late diagnois].

A case of tight but limited stenosis of the common femoral artery resulting from traumatic injury to the pelvis with disjunction of the pubic bones is reported. The lesion was initially overlooked and was only diagnosed 13 year later. Repair consisted of limited resection of the occluded arterial segment which was replaced by a Dacron graft. Such lesions of the external iliac/common femoral arteries appear to be rarely associated with traumas of the pelvis. In this particular case, the artery had probably been sheared by the iliopubic tract.

Adult

Primary leiomyosarcoma or leiomyoma of the pubic bone? A case report.

We report a case of what appeared to be a primary leiomyosarcoma of the left pubic bone of a female aged 23 years. Forty-eight cases of the tumour have been recorded in the literature since 1944, only two of which were in the pelvis. The tumour in our patient was treated by curettage and there was no recurrence in the following 3 years. The tumour cells showed only mild cellular atypism and 2 to 3 mitoses per 10 high-power fields. These finding suggest that the tumour might be an extremely rare leiomyoma of bone.

Adult