Post-Fracture Osteolysis of the Superior Pubic Ramus

Post-fracture osteolysis of the pubic bone is a rare entity characterized by destructive changes in the pubic bone. We report a case of a 70-year-old woman who presented with a four-month history of left-sided groin pain radiating to the left hip. The radiographs showed osteolysis of the left superior pubic ramus, mimicking a malignant lesion. Histological examination showed no evidence of malignancy. After eight weeks of conservative treatment, the pain was significantly relieved. Post-fracture osteolysis may simulate malignancy; physicians should be aware of that to avoid unnecessary invasive procedures.