Stress Injuries of the Ischiopubic Synchondrosis

A 12-year-old competitive runner with enlarged symptomatic right-sided ischiopubic synchondrosis (IPS) is presented, highlighting the pertinent clinical and radiographic findings as well as the basic principles of conservative management and appropriate follow-up surveillance.

Magnetic resonance imaging (MRI) studies revealed remarkable asymmetric enlargement of the right inferior pubic ramus with axial fatsuppressed proton density MRI demonstrating an irregular low signal intensity intramedullary line within the right ischiopubic junction.

In symptomatic patients, a thorough review of radiologic imaging is warranted in order to confirm the diagnosis of IPS and investigate potential associated injuries. The pertinent radiographic findings vital to making an accurate diagnosis and treatment plan are reviewed.