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Differential diagnosis in painful ischiopubic synchondrosis (IPS): a case report
1University Hospital Santa Maria, Department of Orthopaedic Surgery, Av. Professor Egas Moniz 1649-028 Lisbon, Portugal. serradoliveira@hotmail.com
Abstract:
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.
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