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Case Reports in Orthopedics
Volume 2014, Article ID 982171, 3 pages
Case Report

Symphysis Pubis Osteomyelitis with Bilateral Adductor Muscles Abscess

1Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6
2Department of Orthopedic Surgery, University of Dammam, Dammam 31451, Saudi Arabia
3Imperial College London, London SW7 2AZ, UK

Received 19 September 2014; Accepted 29 November 2014; Published 14 December 2014

Academic Editor: Elke R. Ahlmann

Copyright © 2014 Saad M. Alqahtani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Osteomyelitis of the pubis symphysis is a rare condition. There have been various reports in the literature of inflammation and osteomyelitis as well as septic arthritis of pubic symphysis. However, due to the fact that these conditions are rare and that the usual presenting symptoms are very nonspecific, osteomyelitis of the pubic symphysis is often misdiagnosed, thus delaying definitive treatment. We present a case that to our knowledge is the first case in literature of osteomyelitis of the pubic symphysis in a 17-year-old boy with juvenile idiopathic arthritis (JIA), which was initially misdiagnosed and progressed to bilateral adductor abscesses. A high suspicion of such condition should be considered in a JIA patient who presents with symphysis or thigh pain.