Pubic symphysis

The pubic symphysis ( pubic symphysis ) is the point at which the right and left half of the pelvis, specifically the pubic bones on both sides of the front are connected. In the four-footed mammals pubic symphysis is only one part of connection of the two tank halves. Here also the seat leg in the form of a symphysis is ischial involved. Both parts together are called symphysis pubis ( symphysis pelvina ). The two pelvic halves are in all mammals associated with fibrocartilage ( pubic symphysis ).

Clinical Significance

Between the bone portions in humans is an intervertebral disc ( discus interpubicus ) which holds the flexible connection. This is very important for births. Is hormonally controlled during pregnancy, this fibrocartilage connecting flexible. An estimated one in 600 pregnant women this relaxation is too strong and there is a so-called symphysis, which is very painful. During childbirth the symphysis may be overstretched ( Symphysendehiszenz ) or even tear ( Symphysenruptur, symphyseal disruption ), which also leads to severe pain.

What treatment is the most effective, is not yet known. Have proven successful training of the muscles stabilizing beck, water aerobics and Trochantergurt.

Furthermore, an investigation by a surgeon remedy when conservative medicine is not helpful. A Steiflegung of the joint by means of a / two metal plate ( s) and some screws, possibly with the aid of a separate bone graft from the iliac crest can again provide stability and relieve the symptoms at least largely, may also be completely recovered.

At the pubic bones put on the straight abdominal muscles ( rectus abdominis ).

• Joint