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Inferior Pubic Ramus Stress Fracture

Aka: Inferior Pubic Ramus Stress Fracture, Pubic Ramus Stress Fracture
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  1. See Also
    1. Groin Injuries in Athletes
    2. Stress Fracture
    3. Femoral Neck Stress Fracture
    4. Femoral Shaft Stress Fracture
  2. Risk factors
    1. Military recruits
    2. Female distance runners
  3. Symptoms
    1. Groin Pain
  4. Signs
    1. Pain on palpation of pubic ramus
    2. Provocative maneuvers
      1. One legged standing
      2. One legged jumping
  5. Radiology
    1. Nuclear bone scan confirms diagnosis
  6. Management
    1. Risk Modification
      1. See Stress Fracture
    2. Conservative management
      1. Relative rest for 4 to 6 weeks
      2. Gradual return to sport
  7. Prognosis
    1. Expect complete healing by 3 to 5 months
  8. References
    1. Morelli (2001) Am Fam Physician 64(8):1405-1414

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