Overview
Fracture subluxation of the symphysis pubis involves partial dislocation of the pubic symphysis, often presenting with significant pain and functional impairment, particularly in athletes 1.Diagnosis
Chronic lower abdominal, groin, and adductor pain 1
Clinical examination revealing instability or subluxation 1
Imaging studies (e.g., X-ray, MRI) to confirm diagnosis and assess severity 1Management
Surgical Intervention:
- Spreading of the lateral border of the rectus abdominis muscle sheath and epimysial adductor release 1
- Reconstruction of the rectus abdominis muscle in some cases 1
Rehabilitation: Post-surgical physical therapy focusing on gradual strengthening and stabilization exercises 1Special Populations
Athletes: Specific surgical techniques show promising long-term outcomes with high patient satisfaction 1
No specific data on pregnancy, pediatrics, elderly, or comorbidities from provided abstracts 1Key Recommendations
Consider surgical intervention involving rectus abdominis muscle sheath manipulation and adductor release for chronic symphysis pubis subluxation in athletes with persistent symptoms [Evidence: Moderate] 1
Post-surgical rehabilitation should include a structured physical therapy program aimed at restoring stability and function [Evidence: Expert opinion] 1
Long-term follow-up is essential to assess functional outcomes and patient satisfaction, typically showing favorable results over 6 years post-treatment [Evidence: Moderate] 1References
1 Biedert RM, Warnke K, Meyer S. Symphysis syndrome in athletes: surgical treatment for chronic lower abdominal, groin, and adductor pain in athletes. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine 2003. link