- Anteriorly: Superior pubic ramus
, arcuate line of the os ilium,
Corona mortis (CM) is defined as an arterial or venous anastomosis between anastomotic branches of the obturator artery (OA) and the interior epigastric artery (IEA) over the superior pubic ramus
(SPR) (Baena et al, 2015; Al Talalwah, 2016; Tajra et al., 2016; Wada et al., 2017).
Further, the pectineus muscle is occasionally (in 10%-30% of cases) innervated by the accessory obturator nerve, which arises from the anterior rami of the third and fourth lumbar nerves, descends along the medial border of the psoas major muscle, and passes above the superior pubic ramus
Nine years later, he had a recurrence in the right thigh and the right superior pubic ramus
. The lesion within the right thigh was resected with clear margins.
The retrograde medullary superior pubic ramus
screw for treatment of anterior pelvic ring disruptions: a new technique.
The patient had laparotomy, and a hernia sac containing peritoneum and small intestine passing below the superior pubic ramus
was discovered, which confirmed the diagnosis made by US and CT.
Fractures detected included superior and inferior pubic rami fracture, fracture of superior pubic ramus
, fracture of ischial spine and acetabular fracture.
Non-contrast computed tomography of the pelvis also suggested of exestosis of 3x2.5 cm involving the right superior pubic ramus
Figure 4 is an anteroposterior view of the pelvis, showing thickening of the cortex and bilateral ileopectineal lines (black arrow, the pelvic brim sign) and an irregular trabecular pattern within the right iliac and superior pubic ramus
. The fourth vertebral body periphery is sclerotic.
These patients may have tenderness to palpation focally to the proximal adductor muscles, the symphysis pubis or the superior pubic ramus
. (20) Both adductor originating injuries and symphysis pubis stress injuries have similarities in inciting mechanisms.
A technetium bone scan was performed and demonstrated abnormal uptake about the right superior pubic ramus
and the left pubic rami.
But the zone of highest von-Mises stress varied during gait from superior pubic ramus
for maximum load (Figure 3a) to central inferior ilium for minimum load (Figure 3b).