Pubic Osteolysis

Putrid infectious pubic osteitis: case report and review of the literature on the differential diagnosis and treatment of infectious pubic osteitis and inflammatory pubic osteitis

“…Only a small number of articles have dealt with the diagnosis, differential diagnosis, and therapy of this special condition [1,2,[7][8][9][10][11][12][13][14][15]. According to the literature, IPO most often occurs as a secondary infection from an adjacent focus.…”

“…• Posttraumatic benign pubic osteolysis in postmenopausal elderly women. This disease is characterized by roentgenographic findings of rapidly progressing destructive changes in the pubic rami, the os pubis, and the symphysis [1]. Soft tissue masses with calcification may be present.…”

“…Thus, the list includes bedrest, nonsteroidal anti-inflammatory drugs (NSAID), corticosteroids, muscle relaxants or even anticoagulants [2]. In addition, radiation, application of vitamin B, diathermy, or application of heat are recommended [1]. However, a consistent algorithm for therapy does not exist.…”

“…The differential diagnosis of reactive and destructive lesions around the symphysis and the adjacent bone (ramus ossis pubis and ramus ossis ilii) should include consideration of four conditions [1]:…”