MCQ Orthopedics Answer 21

The correct answer is C

Osteitis pubis is characterized by the chronic occurrence of pain in the lower abdomen and medial thighs with exercise. It produces tenderness over the pubic symphysis, and widening of the symphysis is often seen on plain radiographs. Treatment is limited to rest for 6 to 12 weeks. Pain from osteomyelitis is similar, but usually presents with fever and systemic symptoms, and osteomyelitis is does not characterized by widening of the symphysis. A stress fracture of the pubic ramus may occur in distance athletes, but the pain and tenderness are typically lateral, located over the posterior ramus. An inguinal hernia should not present with symphysis pain. Cystitis is associated with dysuria, urinary frequency and more generalized suprapubic, not pubic symphysis, pain.

Ref: Behrman RE, Kleigman RM, Jenson HB (eds): Nelson Textbook of Pediatrics, ed 16. WB Sanders Co, 2000, p 2105. (ABFM 2002)

Category: Orthopedics MCQs