EC Orthopaedics

Introduction: The ischiopubic synchondrosis (IPS) is a temporary joint between the ischium and pubic bone. It ossifies during maturation, usually until early adolescence. Asymmetrical closure of the synchondrosis is not uncommon and can mimic infection, tumor or stress fracture during radiological examination.

Case Report: We present an 8 years old boy, who sustained a RTA. His initial x ray was diagnosed as a fracture since there was a gap in the left ischiopubic synchondrosis. Appropriate clinical evaluation and assessment revealed that the asymmetrical gap was the normal IPS. No further examinations were required. Follow up x-ray, confirmed the diagnosis with the normal ossification process of the IPS

Conclusion: We draw attention for the asymmetrical closure of the IPS. The radiological appearance of IPS may mimic a fracture. It is a benign condition, where only observation is required.

Keywords: Ischiopubic Synchondrosis; Fracture; Van Neck-Odelberg Disease; Osteochondrosis

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