Pubis (bone)

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Pubis (bone)

The pubis is one of the three principal bones that make up the pelvis. It is located in the anterior part of the pelvic girdle and plays a crucial role in supporting the weight of the upper body when sitting and standing, as well as providing attachment points for various muscles.

Anatomy[edit | edit source]

The pubis is divided into three main parts:

Body of Pubis[edit | edit source]

The body of the pubis is the central portion of the bone. It is flattened and forms the wide, medial part of the pubic bone. The body of the pubis articulates with the bodies of the ischium and ilium to form the acetabulum, which is the socket for the femur in the hip joint.

Superior Ramus[edit | edit source]

The superior ramus of the pubis extends laterally from the body of the pubis. It contributes to the formation of the acetabulum and the obturator foramen. The superior ramus is important for the attachment of the pectineus muscle.

Inferior Ramus[edit | edit source]

The inferior ramus of the pubis extends downward and laterally from the body of the pubis. It joins with the inferior ramus of the ischium to form the ischiopubic ramus. This structure provides attachment for the adductor magnus and gracilis muscles.

Function[edit | edit source]

The pubis serves several important functions in the human body:

  • Support: It helps support the weight of the upper body when sitting and standing.
  • Protection: It protects the pelvic organs, including parts of the urinary bladder, reproductive organs, and the distal part of the large intestine.
  • Muscle Attachment: It provides attachment points for muscles involved in movement of the thigh and stabilization of the pelvis.

Clinical Significance[edit | edit source]

Fractures[edit | edit source]

Fractures of the pubis can occur due to trauma, such as in a car accident or a fall. These fractures can be painful and may require surgical intervention depending on the severity and displacement of the fracture.

Osteitis Pubis[edit | edit source]

Osteitis pubis is an inflammation of the pubic symphysis and surrounding muscle insertions. It is often seen in athletes and can cause pain in the groin and lower abdomen.

Symphysis Pubis Dysfunction[edit | edit source]

Symphysis pubis dysfunction (SPD) is a condition that can occur during pregnancy, where the ligaments that normally keep the pubic symphysis stable become too relaxed and stretchy, causing pain and instability in the pelvic region.

Development[edit | edit source]

The pubis, along with the ischium and ilium, begins to ossify from cartilage during fetal development. The three bones are separate at birth but gradually fuse together during adolescence to form the mature pelvis.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD