Differential diagnosis in painful ischiopubic synchondrosis (IPS): a case report.
Synchondroses are temporary joints that only exist during skeletal maturation. Bilateral widening of the ischiopubic synchondrosis (IPS) is a normal growth phenomenon, but when it is unilateral and painful it can become a diagnostic challenge. An eight-year-old child with an enlarged symptomatic unilateral synchondrosis is presented. Failure of conservative treatment and its pseudo-tumoral appearance led us to intervene surgically. Pathology revealed a stress fracture. Based on this clinical case, we made a revision of policy regarding pathology, diagnostic workup and treatment strategies for symptomatic synchondrosis.
University Hospital Santa Maria, Department of Orthopaedic Surgery, Av. Professor Egas Moniz 1649-028 Lisbon, Portugal. serradoliveira@hotmail.com
Fillipe
F
Oliveira
D002356:Cartilage / Q000254:growth & development / Q000293:injuries* / Q000601:surgery; D002648:Child; D003475:Curettage; D003937:Diagnosis, Differential; D015775:Fractures, Stress / Q000150:complications / Q000000981:diagnostic imaging*; D006119:Groin; D006801:Humans; D007512:Ischium / Q000254:growth & development / Q000293:injuries* / Q000601:surgery; D008297:Male; D010146:Pain / Q000209:etiology; D011630:Pubic Bone / Q000254:growth & development / Q000293:injuries* / Q000601:surgery; D011859:Radiography