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Inferior Pubic Ramus Stress Fracture

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Inferior Pubic Ramus Stress Fracture, Pubic Ramus Stress Fracture, Pubis Stress Fracture

  • See Also
  1. Groin Injuries in Athletes
  2. Stress Fracture
  3. Femoral Neck Stress Fracture
  4. Femoral Shaft Stress Fracture
  • Risk factors
  1. See Stress Fracture
  2. Increased training regimen (too hard, too fast, too soon)
  3. Women with poor nutrition or hormonal imbalance (e.g. Female Athlete Triad)
  4. Associated activities
    1. Military recruits
    2. Distance runners
    3. Jumpers
  • Symptoms
  1. Groin Pain
  • Signs
  1. Pain on palpation of pubic ramus
  2. Provocative maneuvers
    1. One legged standing
    2. One legged jumping
  • Imaging
  1. Nuclear bone scan confirms diagnosis
  • Associated Conditions
  1. Acetabulum Stress Fracture
  • Management
  1. Risk Modification
    1. See Stress Fracture
  2. Conservative management
    1. Relative rest for 4 to 6 weeks
    2. Gradual return to sport
  • Prognosis
  1. Expect complete healing by 3 to 5 months
  • References
  1. Morelli (2001) Am Fam Physician 64(8):1405-1414 [PubMed]