Isolated congenital absence of inferior pubic rami ossification: a case report

Previously reported cases of congenital absence of the pubic rami have been associated with urogenital and musculoskeletal anomalies. Presented here is the case of an 11-year-old female who presented to the outpatient clinic and was incidentally found to have absence of inferior pubic rami ossification in the setting of otherwise normal pelvic, genitourinary, and musculoskeletal development. Radiographic, computed tomography, and MRI studies are shown and demonstrate normal musculoskeletal anatomy and a cartilaginous anlage in the location of the inferior pubic rami. Isolated absence of inferior pubic rami ossification can be present in an otherwise typically developing child with normal function.