Short description: Fracture of superior rim of left pubis, init for clos fx The 2024 edition of ICD-10-CM S32.512A became effective on October 1, 2023. This is the American ICD-10-CM version of S32.512A - other international versions of ICD-10 S32.512A may differ.Sep 2, 2022 · Inferior pubic ramus: This is the lower section of bone that branches off the public body. The inferior pubic ramus connects to the lower portion of the L-shaped ischium. The right and left halves of the pubis are connected by cartilage called the pubic symphysis . A pelvic fracture is a break in one or more of your bones in your pelvis. Pelvic fractures are an uncommon type of fracture that can range from mild to severe. While mild pelvic fractures usually don’t require surgery, severe fractures have to be fixed with surgery.Inferior Pubis Ramus Fracture Dx Code Hello, There's some discussion in my office going on how to code a Left Inferior Pubis Ramus Fracture, displaced. I have come up with S32.592A, which is other specified fracture of left pubis, initi...Patient’s right leg is shorter than the left. She reports pain with log roll on the right side. There is pain and instability to rotation of the right hemi-pelvis. ... AP pelvis obtained in the trauma room demonstrates a vertically oriented right superior and inferior pubic rami fractures with complete disruption of the right sacroiliac joint ...Figure 2. Computed tomography scans. (a) Isolated loss of the left inferior pubic ramus and thinning of the superior with normal muscular attachment. (b) The thin left superior ramus. Full size image. Figure 3. A bone scan was performed and excluded any osteolytic lesion, bone rarefaction, cysts or neoplasm.Introduction. Fractures of the pubic rami due to low energy trauma are common in the elderly, with an incidence of 26 per 100,000 people per year in those aged more than 60 years [1, 2].Pubic ramus fractures combined with a sacroiliac joint complex injury is a pelvic fracture, its incidence is increasing due to the development of …FIGURE 1. Anterior-posterior radiograph of the pelvis, demonstrating fractures through the superior and inferior pubic rami on the left (orange arrows), as well as a fracture involving the superior ramus on the right (white arrow). These fractures were present on a radiographic examination from 2 months prior.Oct 30, 2023 · The pubis is the smallest of these three bones. It is located at the anteroinferior aspect of the pelvis. The pubis consists of a body and two rami (superior and inferior). Located on the anterior aspect of the pubic body is a bony thickening called the pubic crest. The lateral aspect of this crest is the pubic tubercle. Magnetic resonance imaging (MRI) scan demonstrated a nondisplaced left sacral fracture (D) and left superior pubic ramus fracture (E). Open in a separate window. Figure 3. Diagnostic imaging algorithm. ... (CT) scan (B) demonstrating a large posterior crescent fracture and superior and inferior rami fractures anteriorly. C, Postoperative …Discover historical prices for ICLN stock on Yahoo Finance. View daily, weekly or monthly format back to when iShares Global Clean Energy ETF stock was issued.Short description: Unsp fracture of unsp pubis, init encntr for closed fracture The 2024 edition of ICD-10-CM S32.509A became effective on October 1, 2023. This is the American ICD-10-CM version of S32.509A - other international versions of ICD-10 …The inferior pubic ramus passes laterally and downward from the pubic symphysis; it becomes narrower as it descends and joins with the inferior ramus of the ischium below the obturator foramen. The inferior pubic ramus is thin and flat and its anterior surface is rough, because the origins of various muscles are here—the gracilis, part of the ...The pubic symphysis is reinforced by four strong ligaments 2,3: superior pubic ligament: runs from pubic crest to pubic crest. inferior pubic (or subpubic or arcuate) ligament: runs from right to left inferior pubic ramus. anterior pubic ligament: blends with periosteum laterally as well as the interpubic discSep 8, 2023 · Pubic Ramus Fracture The most common type of pelvic fracture is an injury to one or both of the pubic ramus bones —two ring-shaped bones located on each side of the lower pelvis. In at least 80 percent of cases, the pubic ramus fractures in two places at once. FIGURE. (A) Coronal computed tomography (CT) of the left hip demonstrating a comminuted, mildly displaced fracture of the left superior pubic ramus extending into the pubic symphysis; (B) 3-D CT of the left hip demonstrating a minimally displaced transverse fracture of the left inferior pubic ramus, and (C) axial CT of the …ICD-10-CM Code for Other specified fracture of left pubis, initial encounter for closed fracture S32.592A ICD-10 code S32.592A for Other specified fracture of left pubis, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .Short description: Oth fracture of left pubis, init encntr for closed fracture The 2024 edition of ICD-10-CM S32.592A became effective on October 1, 2023. This is the American ICD-10-CM version of S32.592A - other international versions of ICD-10 S32.592A may differ.Sep 23, 2021. #1. Hello, There's some discussion in my office going on how to code a Left Inferior Pubis Ramus Fracture, displaced. I have come up with S32.592A, which is other specified fracture of left pubis, initial encounter for closed fracture. I went straight to the index to come up with that code. The other coder in the office, has said ...Unilateral fractures of an inferior pubic ramus are by far the most common, accounting for over 40% of all pelvic fractures ( Fig. 8-11 ). They are usually located in the medial aspect of the ramus and may extend into the body of the pubis. ... This ring-like pubic rami fracture is associated with a left sacral ala fracture from lateral ...According to CPT guidelines, an appropriate evaluation and management (E/M) service code should be used in place of 27197 and 27198 for closed treatment of anterior (vs. posterior) pelvic ring fracture and dislocation(s) of the pubic symphysis and superior/inferior rami (unilateral or bilateral).Short description: Unsp fracture of left pubis, subs for fx w routn heal The 2024 edition of ICD-10-CM S32.502D became effective on October 1, 2023. This is the American ICD-10-CM version of S32.502D - other international versions of ICD-10 S32.502D may differ.The diagnosis and management of minor low-energy and insufficiency pelvic fractures in older adult patients is reviewed here. Such fractures consist primarily of …We would like to show you a description here but the site won’t allow us.Pubic Ramus Fracture The most common type of pelvic fracture is an injury to one or both of the pubic ramus bones —two ring-shaped bones located on each side of the lower pelvis. In at least 80 percent of cases, the pubic ramus fractures in two places at once.A sclerotic lesion is an unusual hardening or thickening of your bone. They can affect any bone and be either benign (harmless) or malignant (cancerous). In general, …ICD 10 code for Multiple fractures of pelvis without disruption of pelvic ring, initial encounter for closed fracture. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S32.82XA.The 2024 edition of ICD-10-CM S32.592 became effective on October 1, 2023. This is the American ICD-10-CM version of S32.592 - other international versions of ICD-10 S32.592 may differ. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. ICD 10 code for Other specified fracture of left pubis.Celebrate National Pubic Lands Day by volunteering with the National Environmental Education Foundation. There's a good chance your future travel plans involve one of this country'...A. inferior pubic ramus and ischial ramus. ... This angle, formed by the anterior convergence of the right and left ischiopubic rami, is larger in females (greater than 80 degrees) than in males (less than 70 degrees). The female sacral promontory does not project anteriorly as far as it does in males, which gives the pelvic brim (pelvic inlet ...Dec 8, 2021 · A pelvic fracture happens when there’s a fracture (break) in one or more of your bones that make up your pelvis. Your pelvis is the area of your body below your abdomen that’s located between your hip bones. Pelvic fractures can be mild or severe. S32.592 - Other specified fracture of left pubis; S32.592A - Other specified fracture of left pubis, initial encounter for closed fracture; S32.592B - Other specified fracture of left pubis, initial encounter for open fracture; S32.592D - Other specified fracture of left pubis, subsequent encounter for fracture with routine healingThe pubic symphysis joins your left and right pelvic bones to make one pelvis that’s strong enough to support your body but that’s able to stretch during childbirth. The joint connects each pelvic bone so that they are roughly mirror images of each other. ... the inferior pubic ligament, the anterior pubic ligament, and the posterior pubic ...The radiograph reveals bilateral pubic rami fractures, both superior and inferior pubic rami are fractured bilaterally, although visualization of the left superior ramus is hampered by a metallic zipper. The 3D reconstruction of the CT exam allows for better visualization of the bilateral pubic rami fracture. Short description: Fracture of superior rim of left pubis, init for clos fx The 2024 edition of ICD-10-CM S32.512A became effective on October 1, 2023. This is the American ICD-10-CM version of S32.512A - other international versions of ICD-10 S32.512A may differ. The frontal view of the pelvis confirms the presence of healing fractures of the left inferior pubic rami and pubic tubercle. Case Discussion DXA images are of lower resolution than radiographs, but they are important to review by the technologist and physician for several reasons: confirming appropriate patient positioning and placement of ...In endurance athletes, similar findings of a stress fracture can be seen in the inferior pubic rami 23 ... T2FS images demonstrate a healing fracture (arrows) through the left inferior pubic ramus. This was radiographically occult. Pelvic Apophyseal Injury. Traction apophysitis in the pelvis is a commonly recognized overuse injury in children ...Unilateral fractures of an inferior pubic ramus are by far the most common, accounting for over 40% of all pelvic fractures ( Fig. 8-11 ). They are usually located in the medial aspect of the ramus and may extend into the body of the pubis. ... This ring-like pubic rami fracture is associated with a left sacral ala fracture from lateral ...Figure 2. Computed tomography scans. (a) Isolated loss of the left inferior pubic ramus and thinning of the superior with normal muscular attachment. (b) The thin left superior ramus. Figure 3. A bone scan was performed and excluded any osteolytic lesion, bone rarefaction, cysts or neoplasm.revealed osteolytic bony destruction of the left inferior pubic ramus. MRI demonstrated equal T 1 and long T 2 mixed signals from a 2.5 cm × 4.5 cm oval-shaped lesion on the left inferior pubic ramus (Fig. 2a–f). To avoid prevent progression of her disease, surgery was performed to resect the tumor of the inferior pubic ramusRadiograph (a) demonstrates an expansile osseous lesion with periosteal reaction and maturing callus along the left superior pubic ramus (arrow). No definite fracture line is identified. Coronal STIR (b) of the pelvis demonstrates bone marrow edema throughout the left superior pubic ramus, fracture site, and surrounding callus (arrow). B: bladder.3 Jan 2017 ... The superior and inferior rami refer to two components of the pelvis, specifically the pubic bone. The superior ramus and inferior ramus are ...From Barry to Titans, a few of your favorite shows are returning for one last hurrah. As HBO Max continues to transform into whatever inferior version of its former self it will ev...Radiograph (a) demonstrates an expansile osseous lesion with periosteal reaction and maturing callus along the left superior pubic ramus (arrow). No definite fracture line is identified. Coronal STIR (b) of the pelvis demonstrates bone marrow edema throughout the left superior pubic ramus, fracture site, and surrounding callus (arrow). B: bladder.Initial radiographs showed a unilateral left superior and inferior pubic rami fracture, which was treated conservatively. Forty-eight hours post-admission, the patient became tachycardic and hypotensive and was found to have dropped his haemoglobin from 125 to 89 g/L. After resuscitation, a repeat contrast CT scan revealed an enlarging ...Jun 12, 2013 · Pubic rami fractures are common. They are associated with significant morbidity and mortality. These fractures are usually classified as stable injuries and traditionally receive limited orthopaedic input. Management typically involves hospital admission and early input from physiotherapists and occupational therapists. Early mobilisation is advocated as a central part of managing these ... Definition/description. A pelvic fracture is a disruption of the bony structures of the Pelvis. An anatomic ring is formed by the fused bones of the ilium, ischium and pubis attached to the sacrum. A pelvic fracture can occur by low-energy mechanism or by high-energy impact. They can range in severity from relatively benign injuries to life ...The pubic rami are a group of bones that make up part of the pelvis. A pubic ramus fracture is a break in one of these bones. These fractures do not need an operation and …The inferior pubic ramus joins the ischial ramus to form the ischiopubic ramus. The subpubic angle is formed by the medial convergence of the right and left ischiopubic rami. The lateral side of the hip bone has the cup-like acetabulum, which is part of the hip joint.Sites of avulsion. iliac crest : anterior abdominal wall muscles. anterior superior iliac spine : tensor fascia lata and sartorius. anterior inferior iliac spine : straight head of rectus femoris. greater trochanter: gluteus medius and gluteus minimus. lesser trochanter : iliopsoas muscle.Inspect the superior and inferior pubic rami for discontinuities. 6. ... In this schematic, the right pubic rami are fractured, and the left sacroiliac joint is diastatic. Because the pubic symphysis is intact, the left pelvis carried the small right pubic fragment with it in its cephalad migration. The darkened region indicates the portion of ... L: undisplaced superior ramus # R (Torode & Zeig III) R: displaced R and L inferior and superior rami# (Torode&Zeig III) Torode & Zeig IV. Fracture near left SI joint and fracture through left superior and inferior pubic rami Torode IV injury with pubic diastasis and SI joint disruption Mature Pelvis: Lateral Compression type Pubic rami fractures are common. They are associated with significant morbidity and mortality. These fractures are usually classified as stable injuries and traditionally receive limited orthopaedic input. Management typically involves hospital admission and early input from physiotherapists and occupational therapists. Early mobilisation is advocated as a central part of managing these ...L: undisplaced superior ramus # R (Torode & Zeig III) R: displaced R and L inferior and superior rami# (Torode&Zeig III) Torode & Zeig IV. Fracture near left SI joint and fracture through left superior and inferior pubic rami Torode IV injury with pubic diastasis and SI joint disruption Mature Pelvis: Lateral Compression typeIt is covered by a layer of fat, which is covered by the mons pubis. It provides structure and protection to the urogenital organs in both sexes, including the bladder, uterus, ovaries, prostate, and testes. It can be separated into a body, a superior ramus and an inferior ramus.s. Articulations [edit | edit source]Radiographs showed posterior and superior migration of the right hemipelvis and nonunion of the left anterior pelvis. A CT image showed nonunion through the right sacrum and the left pubic rami, with displacement. We planned a three-stage pelvic reconstruction. During the first stage, we reconstructed her pelvis through the left pubic …The pubic arch is the bony structure formed by the pubic symphysis, and the bodies and inferior pubic rami of the adjacent pubic bones. The inferior pubic ramus extends downward to join the ischial ramus. Together, these form the single ischiopubic ramus, which extends from the pubic body to the ischial tuberosity. The inverted V-shape formed ...Celebrate National Pubic Lands Day by volunteering with the National Environmental Education Foundation. There's a good chance your future travel plans involve one of this country'...Pelvic ring fractures are high energy fractures of the pelvic ring which typically occur due to blunt trauma. Diagnosis is made radiographically with pelvic radiographs and further …According to CPT guidelines, an appropriate evaluation and management (E/M) service code should be used in place of 27197 and 27198 for closed treatment of anterior (vs. posterior) pelvic ring fracture and dislocation(s) of the pubic symphysis and superior/inferior rami (unilateral or bilateral).Nov 2, 2022 · Minor pelvic fractures in older adults involve either low energy mechanisms or repetitive stresses in osteoporotic bone (insufficiency fractures). These fractures may be either displaced or nondisplaced and generally involve both anterior and posterior elements of the pelvis. For the purposes of this review, low energy and pelvic insufficiency ... The pubis is the anterior and inferior part of the pubic bone and consists of a body connected to two branches (rami) – a superior ramus and an inferior ramus. Several muscles of the abdomen and thigh attach to the superior pubic ramus. The superior pubic ramus projects posteriorly and laterally from the body and joins the ilium …Fractures of the superior pubic ramus (SPR) are generally the result of a direct blow, often in elderly patients, and are the result of minimal traumatic force. 1, 2, 3 Current literature continues to describe this injury as a pelvic fracture. Traditional teaching is that this fracture, when encountered without a concomitant posterior pelvic injury, is a stable fracture with …Oct 30, 2023 · It projects superiorly to join the ilium and the superior ramus of the pubis, and contributes to the acetabulum. Ramus. The ramus of the ischium, extends anteromedially from the inferior aspect of the body to join the inferior pubic ramus. Together, these bony rami form the ischiopubic ramus which is the inferior border of the obturator foramen. The inferior pubic ramus joins the ischial ramus to form the ischiopubic ramus. The subpubic angle is formed by the medial convergence of the right and left ischiopubic rami. The lateral side of the hip bone has the cup-like acetabulum, which is part of the hip joint.S32.592 - Other specified fracture of left pubis; S32.592A - Other specified fracture of left pubis, initial encounter for closed fracture; ... Fracture of inferior pubic ramus; Fracture of pubic tubercle; Clinical Classification. Clinical Category is Fracture of …If stress is put on the pubic ramus, areas of the bone can become damaged. The damaged areas of the bone are then replaced with new bone. If the process of forming of new bone is slower than the removal of the old bone, weak areas can develop within the pubic ramus at places where it is put under stress. A weak area in the bone can develop into ...The pubic arch is the bony structure formed by the pubic symphysis, and the bodies and inferior pubic rami of the adjacent pubic bones. The inferior pubic ramus extends downward to join the ischial ramus. ... The pelvis consists of four bones: the right and left hip bones, the sacrum, and the coccyx (see Figure 8.12). The pelvis has several ...The world of public intellectuals has been replaced by an inferior mob of “thought leaders,” says Daniel Drezner in his new book The Ideas Industry. These thinkers, rather than exa...A. Initial radiograph only shows indistinct fracture line in the left inferior pubic ramus (arrows). B. Bone scan with 99m Tc-MDP reveals a focal area of increased tracer activity in the left inferior pubic ramus (arrows), suggesting a fatigue fracture, which is disclosed definitely on the caudal view of the pelvis (arrowhead). C.(b) Direct X-ray of plasmacytoma, including right superior and inferior pubic ramus, expanding in the bone, causing cortical thinning and destruction in places. (c) Axial T2 sequence magnetic resonance image of a simple bone cyst in right pubic ramus. (d) X-ray of left pubic ramus insufficiency fracture.Unsp fracture of left pubis, init encntr for closed fracture; Closed fracture left pubis; Closed fracture of left pubis; Left pubic bone fracture. ICD-10-CM Diagnosis Code S02.641A [convert to ICD-9-CM] Fracture of ramus of right mandible, initial encounter for closed fracture. Fracture of ramus of right mandible, init.The left obturator internus muscle is thickened, no pelvic sidewall hematoma. Left sacral ala fracture lateral to the sacral foramina without significant displacement. The SI joints are not widened. Superior and inferior pubic rami fractures on the left with fracture extension into the pubic body. No widening of the symphysis pubis.Lots of muscles that originate from pubis gracilis muscle and adductor brevis muscle at the external surface of the body of pubis and its inferior ramus; obturator externus muscle and obturator internus muscle; adductor longus muscle at upper body of pubis just below the pubic crest; pectineus muscle from the external surface of superior ramus; sphincter …Introduction. Older patients presenting on the acute medical take with pelvic fragility fractures (PFF) represent an increasing epidemic. 1 The most common pelvic fracture identified by plain X-ray is that of the pubic rami. 2 PFF are painful and despite optimal analgesia, many of these patients struggle to mobilise. Between 60% and 80% of …The pubic bone or pubis is the last and smallest of the hip bones to be discussed. It has a small body located medially and two rami (superior and inferior) extending posterolaterally. The rami of the pubic bone resemble the oblique lines of the letter ‘K’ from an anterior view. Parts and surfacesFracture of superior rim of left pubis, init for opn fx. ICD-10-CM Diagnosis Code S32.312B [convert to ICD-9-CM] Displaced avulsion fracture of left ilium, initial encounter for open fracture. Displaced avulsion fracture of left ilium, init for opn fx; Left iliac spine fracture; Open left avulsion fracture of anterior inferior iliac spine of ...Unspecified fracture of left pubis, initial encounter for open fracture Unsp fracture of left pubis, init encntr for open fracture ; Left pubic bone fracture ; Open fracture of left pubis ICD-10-CM Diagnosis Code S32.502BShort description: Unsp fracture of unsp pubis, init encntr for closed fracture The 2024 edition of ICD-10-CM S32.509A became effective on October 1, 2023. This is the American ICD-10-CM version of S32.509A - other international versions of ICD-10 S32.509A may differ. Search Results. 500 results found. Showing 1-25: ICD-10-CM Diagnosis Code M84.350A [convert to ICD-9-CM] Stress fracture, pelvis, initial encounter for fracture. Left pubic bone fracture; Pelvis fracture; Right pubic bone fracture; Stress fracture of left pubic ramus; Stress fracture of pelvis; Stress fracture of right pubic ramus. B. inferior pubic ramus：與ramus of ischium連接，合稱ischiopubic ramus C. superior pubic ramus：與ilium及ischium的body三個部分組成acetabulum（髖臼） D. acetabulum：三塊骨頭交界處，像 肩關節 一樣外側還會接軟骨來增加旋轉角度、活動範圍，上方新月狀圓滑部分稱作lunate surface（月狀 ...FIGURE 1. Anterior-posterior radiograph of the pelvis, demonstrating fractures through the superior and inferior pubic rami on the left (orange arrows), as well as a fracture involving the superior ramus on the right (white arrow). These fractures were present on a radiographic examination from 2 months prior.A. inferior pubic ramus and ischial ramus. ... This angle, formed by the anterior convergence of the right and left ischiopubic rami, is larger in females (greater than 80 degrees) than in males (less than 70 degrees). The female sacral promontory does not project anteriorly as far as it does in males, which gives the pelvic brim (pelvic inlet ...The female groin is the junction at which folds of the abdomen are joined with the thighs on the sides of the human body. The pubic area of females is located between the two groin...Figure 2. Computed tomography scans. (a) Isolated loss of the left inferior pubic ramus and thinning of the superior with normal muscular attachment. (b) The thin left superior ramus. Figure 3. A bone scan was performed and excluded any osteolytic lesion, bone rarefaction, cysts or neoplasm.Other symptoms will vary with the severity of the fracture. They may include: Pain and tenderness in the groin, hip, lower back, buttock or pelvis. Bruising and swelling over the pelvic bones. Numbness or tingling in the genital area or in the upper thighs. Pain which may also be present on sitting or straining.
Short description: Unsp fracture of left pubis, subs for fx w routn heal The 2024 edition of ICD-10-CM S32.502D became effective on October 1, 2023. This is the American ICD-10-CM version of S32.502D - other international versions of ICD-10 S32.502D may differ. . Carroll iowa news
The pubic symphysis joins your left and right pelvic bones to make one pelvis that’s strong enough to support your body but that’s able to stretch during childbirth. The joint connects each pelvic bone so that they are roughly mirror images of each other. ... the inferior pubic ligament, the anterior pubic ligament, and the posterior pubic ...Discover historical prices for ICLN stock on Yahoo Finance. View daily, weekly or monthly format back to when iShares Global Clean Energy ETF stock was issued.FFP type IVb. This 67-year-old patient presented 10 months after a fall suffering from groin pain and pain projecting in both legs as well as a peroneal lesion on the left side, she was treated conservatively. She had bilateral pseudarthrosis of the sacrum and the left pubic rami with intrusion of the sacrum into the pelvic ring (a, b). Open ...Displaced oblique fracture of shaft of left radius, initial encounter for closed fracture. Displaced oblique fracture of shaft of left radius, init. ICD-10-CM Diagnosis Code S32.612A [convert to ICD-9-CM] Displaced avulsion fracture of left ischium, initial encounter for closed fracture. Displaced avulsion fracture of left ischium, init.Pubic rami fragility fractures are a significant problem in older people and often require admission to hospital. Further imaging confirms that these fractures are complex, with co …Pubic bone. The pubic bone (Latin: os pubis ), also known as the pubis, is a paired bone that forms the anterior part of the hip bone. It also participates in the formation of the anterior and inferior boundary of the obturator foramen. The left and right pubic bones join at the pubic symphysis. The pubic bone is the smallest hip bone, and it ...r study was to determine the effect of superior pubic ramus fracture morphology and fixation construct on pelvic stability. Methods: Ten fresh-frozen cadaveric were transected into hemi-pelvises. Incomplete Denis type 1 sacral fractures were made. Hemi-pelvises were randomized to receive a transverse-type or oblique-type superior pubic ramus …Inferior Pubis Ramus Fracture Dx Code Hello, There's some discussion in my office going on how to code a Left Inferior Pubis Ramus Fracture, displaced. I have come up with S32.592A, which is other specified fracture of left pubis, initi...FFP type IVb. This 67-year-old patient presented 10 months after a fall suffering from groin pain and pain projecting in both legs as well as a peroneal lesion on the left side, she was treated conservatively. She had bilateral pseudarthrosis of the sacrum and the left pubic rami with intrusion of the sacrum into the pelvic ring (a, b). Open ...The pubis is the anterior and inferior part of the pubic bone and consists of a body connected to two branches (rami) – a superior ramus and an inferior ramus. Several muscles of the abdomen and thigh attach to the superior pubic ramus. The superior pubic ramus projects posteriorly and laterally from the body and joins the ilium … We would like to show you a description here but the site won’t allow us. However, the region around the pubic rami is an unusual location for heterotopic bone formation. Here, we present a case of a young, active man in the Armed Forces Reserve with a large heterotopic bone involving the left inferior pubic ramus who underwent surgical excision through an unusual approach via the perineum..