Haemodynamic instability resulting from a low energy pubic ramus
fracture in a 78-year-old woman.
The superior pubic ramus
should be identified first, after which the obturator externus muscle can be seen lying superficial to the superior pubic ramus
reported a case of osteoblastoma occurring in the pelvis; the tumor involved the superior pubic ramus
, the superior part of the ischium, and the inferior part of the acetabulum.
However, due to new fractures on pubic ramus
, full weight bearing was delayed for approximately 6 months.
In this study, the case of a patient, who has been receiving bisphosphonate treatment for 10 years and developed multiple fractures (left femoral diaphysis, bilateral pubic ramus
and sacrum), was presented and the literature was reviewed.
Cooper's ligament, or the pectineal ligament, is formed from the fascia and periosteum along the superior pubic ramus
. (1) The conjoint tendon is formed by the fusion of the transversus abdominis aponeurosis with the internal oblique.
A technetium bone scan was performed and demonstrated abnormal uptake about the right superior pubic ramus
and the left pubic rami.
It is bounded by the margin formed by the following structures: i) superiorly--the obturator surface of the pubic body and the obturator groove, the deeply grooved base of the superior pubic ramus
; ii) inferiorly--the ischial and pubic inferior rami; iii) anteriorly--the superior and inferior pubic rami; iv) posteriorly--the inferior ischial ramus.
One variation of the obturator artery is aberrant obturator artery (AOA), which is originated from the external iliac artery or the inferior epigastric artery, arching above and behind the superior pubic ramus
, descends towards the obturator foramen, completely replacing the irrigation provided by the obturator artery (Baena et al., 2015).
For repair of an anterior vaginal prolapse (a cystocele), the two most important landmarks are the ischial spine and the junction of the inferior pubic ramus
with the body of the pubic bone.
The anteroposterior radiograph of the pelvis shows a lytic, expansile lesion of the right acetabulum that extends into the ilium and superior pubic ramus
with cortical breakthrough of the iliopubic line.