Pubic Symphysis

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Pubic symphysis

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From Wikipedia, the free encyclopedia

Pubic symphysis

The pubic symphysis sits between and joins of the left and

right superior rami of the pubic bones.

#5 is pubic symphysis.

Details

Identifiers

Latin symphysis pubica, symphysis pubis

MeSH D011631
TA98 A03.6.02.001

TA2 1855

FMA 16950

Anatomical terminology

[edit on Wikidata]

The pubic symphysis is a secondary cartilaginous joint between the left and


right superior rami of the pubis of the hip bones. It is in front of and below the urinary
bladder. In males, the suspensory ligament of the penis attaches to the pubic
symphysis. In females, the pubic symphysis is close to the clitoris. In most adults it can
be moved roughly 2 mm and with 1 degree rotation. This increases for women at the
time of childbirth.[1]
The name comes from the Greek word symphysis, meaning 'growing together'.[citation needed]

Structure[edit]

The pubic symphysis is a nonsynovial amphiarthrodial joint. The width of the pubic


symphysis at the front is 3–5 mm greater than its width at the back. This joint is
connected by fibrocartilage and may contain a fluid-filled cavity; the center is avascular,
possibly due to the nature of the compressive forces passing through this joint, which
may lead to harmful vascular disease.[2] The ends of both pubic bones are covered by a
thin layer of hyaline cartilage attached to the fibrocartilage. The fibrocartilaginous disk is
reinforced by a series of ligaments. These ligaments cling to the fibrocartilaginous disk
to the point that fibers intermix with it.
Two such ligaments are the superior pubic ligament and the inferior pubic ligament,
which provide the most stability; the anterior and posterior ligaments are weaker. The
strong and thicker superior ligament is reinforced by the tendons of the rectus
abdominis muscle, the abdominal external oblique muscle, the gracilis muscle, and
by muscles of the hip. The superior pubic ligament connects together the two pubic
bones superiorly, extending laterally as far as the pubic tubercles. The inferior ligament
in the pubic arch is also known as the arcuate pubic ligament or subpubic ligament; it is
a thick, triangular arch of ligamentous fibers, connecting together the two pubic bones
below, and forming the upper boundary of the pubic arch. Above, it is blended with the
interpubic fibrocartilaginous lamina; laterally, it is attached to the inferior rami of
the pubic bones; below, it is free, and is separated from the fascia of the urogenital
diaphragm by an opening through which the deep dorsal vein of the penis passes into
the pelvis.
Fibrocartilage[edit]
Fibrocartilage is composed of small, chained bundles of thick, clearly defined,
type I collagen fibers. This fibrous connective tissue bundles have cartilage cells
between them; these cells to a certain extent resemble tendon cells. The collagenous
fibers are usually placed in an orderly arrangement parallel to tension on the tissue. It
has a low content of glycosaminoglycans (2% of dry weight). Glycosaminoglycans are
long, unbranched polysaccharides (relatively complex carbohydrates) consisting of
repeating disaccharide units. Fibrocartilage does not have a surrounding perichondrium.
Perichondrium surrounds the cartilage of developing bone; it has a layer of dense,
irregular connective tissue and functions in the growth and repair of cartilage.

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