Tophaceous gout of the pubic symphysis: an unusual cause of groin pain

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Tophaceous gout of the pubic symphysis: an unusual cause of groin pain.

CASE REPORT A 73 year old Polynesian woman was admitted with a 5 day history of severe pain in the right groin, right hip, and lower back and was unable to weight bear. Past history included tophaceous gout of 10 years’ duration, which was poorly controlled despite daily colchicine. She had chronic lymphoedema of the right leg (Milroy’s disease). This was complicated by recurrent episodes of ri...

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Bilateral stress fractures of the pubic rami following THA--an unusual case of groin pain.

Stress fractures of the pubic rami are rare occurrences and most frequently occur in association with total hip arthroplasty (THA). Reported historically with both cemented and noncemented THA components, postoperative stress fractures likely occur secondary to a rapid postoperative increase in patient activity following years of disability. Though stress fractures of the pubic rami should be c...

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Lower back pain caused by tophaceous gout of the spine.

A 75-year-old man with a history of gout presented with 5 days of fever and diffuse lower back pain. His temperature was 101.5 °F, and he had tenderness over both thoracic and lumbar vertebrae. His neurologic examination was largely normal. Erythrocyte sedimentation rate was 100 mm/h, and serum uric acid 18.6 mg/dL. Subsequent workup, including MRI and biopsy (figure), was consistent with topha...

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Intrapartum Pubic Symphysis Disruption

During pregnancy, high progesterone and relaxin levels produce physiological ligament relaxation on the pelvis. Therefore, moderate pubic symphysis and sacroiliac joints relaxing provide birth canal widening, thereby facilitating vaginal delivery. Sometimes, functional pain or pelvic instability may occur during pregnancy or puerperium, which is defined as symptomatic pelvic girdle relaxation. ...

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ژورنال

عنوان ژورنال: Annals of the Rheumatic Diseases

سال: 2004

ISSN: 0003-4967

DOI: 10.1136/ard.2003.017988