Lesions of the Symphysis in Athletes

In a radiological study of the pubic symphysis in 37 athletes (26 footballers and 11 others) and 156 young men as controls changes similar to those of osteitis pubis were found in 19 (76%) of the footballers and nine of the other athletes (81%) and 70 of the controls (45%). In the controls there was a significant correlation between their athletic ability and these changes.The clinical features consist of pain in the region of the pubis which may radiate to the groin or lower abdomen. Clicking may be present and indicates instability. Local tenderness is the only significant sign. Radiographs may show a combination of marginal irregularity, reactive sclerosis, and instability.A chronic stress lesion in the iliac component of a sacro-iliac joint was found in 20 out of 37 athletes, and 13 of them had instability at the pubic symphysis.It is concluded that repeated minor trauma is the primary aetiological factor. Though the radiological appearance may resemble that of osteitis pubis, there was no evidence that infection caused the lesion in this series. Spontaneous remission of symptoms is the most likely outcome. Rest from physical exertion is the most effective treatment, and stabilization of the pubic symphysis is indicated only rarely.     

Anatomical and developmental bases for the ventral arc of the human pubis

The ventral arc of the pubis is frequently used for sexing adult human hip bones. This study addresses the issues of the anatomical and developmental bases for the ventral arc. Dissection of seven adult pelves (four females and three males) demonstrates that the sexes are identical in the muscular and ligamentous attachments to this ridge of bone. The tendons of gracilis and adductor brevis, which are fused for a variable extent, arise from the ridge of bone, and the fibers of the ventral pubic ligament attach to its medial border. Lateral placement of the ventral arc is defined in terms of the minimum distance between the ridge of bone and the inferior border of the symphyseal face of the pubis. The hypothesis that lateral placement of the ventral arc is positively correlated with pubic length was tested using two random samples of adult female hip bones (N = 50 for both whites and blacks) from the Hamann-Todd collection. The correlation between these variables is significant. The results support the argument that lateral placement of the ventral arc is related to the amount of postadolescent growth occurring at the symphyseal border of the pubis. Therefore, the ventral arc should not be considered as an independent criterion from pubic length in sexing adult hip bones.     

Bone resorption of the pubis and preauricular area in humans and nonhuman mammals

Some innominates of adult human females show areas of bone resorption on the dorsal aspect of the pubic corpus and preauricular area of the ilium. For both sites, many studies have shown a positive association between degree of resorption and parity. The present study tested hypotheses concerning resorption of the pubis and preauricular area. Samples of innominates from three prehistoric Amerindian populations were used. Within each population, only a minority of females, in general, showed resorption more severe than that which characterized males. The severity of resorption of the pubis was not significantly associated with that of the preauricular area. Pitting of the pubis, but not of the preauricular area, was significantly correlated with age-at-death in each sample of Amerindian females. Also, sacral angulation was not significantly associated with resorption of the preauricular area. Observations on resorption of the pubis and preauricular area in samples of Pan troglodytes and Gorilla gorilla are reported. In previous studies on resorption of the pubis and preauricular area in the human innominate, the proposed etiologies involve ligamentous hyperplasia and joint trauma. However, a number of studies on resorption of the pubis in the nonhuman mammalian innominate have been overlooked by anthropologists. These latter studies demonstrate that estrogen alone can induce resorption of the mammalian pubis by stimulating the synthesis of osteoclastic enzymes. Partial resorption of the pubis may be obstetrically advantageous in some mammals, as resorption would delay or inhibit synostosis of the interpubic joint. The relationship between estrogen and the preauricular area is an issue that requires further research.     

Evolutionary changes in pubic orientation in dinosaurs are more strongly correlated with the ventilation system than with herbivory

Among dinosaurs, the pubis has convergently retroverted four times in Maniraptora (Theropoda) and once in Ornithischia. Although a clear correlation has not been demonstrated, it has been previously proposed that two traits were related to pubic retroversion: the reduced importance of cuirassal ventilation, and a herbivorous diet. Here, we analyse the possible influence of these traits on pubis orientation. Cuirassal ventilation was plesiomorphically present as an accessory ventilation mechanism in Dinosauria and was powered by the M. ischiotruncus, which was probably connected to a propubic pelvis. Cuirassal ventilation was reduced in both Ornithischia and Maniraptora, some of which also evolved herbivory. According to our results, cuirassal ventilation is more strongly correlated with pubic orientation than herbivory. The retroversion of the pubis during the evolution of birds resulted in major changes in the musculature of the tail. These changes increased the efficiency of the pubocaudalis muscles, which enhanced the birds’ capability for take‐off from the ground. The release of the evolutionary constraint on pubic orientation through changes in the ventilatory system can therefore be considered to be an important step in bird evolution.     

The structure of the human symphysis pubis with special consideration of parturition and its sequelae

Review of the structure of the symphysis pubis, based on my extensive study of the pelvic joints ('31) shows changes from age, function, pregnancy hormones and stress of parturition. Primary physiologic shearing clefts and secondary traumatic clefts in cartilage are more frequent in females. Inter-digitations in the young osteocartilaginous border secure the vulnerable growth cartilage against increasing shearing forces. The retropubic eminence, ligamentous or cartilaginous, forms earlier in females, later, due to bony lipping in males, secondary to extrusion of disc cartilage. Ovarian and placental hormones in pregnancy cause remodeling and resorption of the posterior margin of the pubic facette and adjacent cortex, making a (variably) deep bony groove for greatly hypertrophied transverse ligaments. Delivery of a mature infant produces traumatic changes leading to extrusion of torn fibrocartilage in any direction, progressively loosening the symphysis, producing cartilage nodules, cysts and reactive bone formation. Older age degenerative arthritis is more frequent in parous females.     

Crab louse infestation in pre-Columbian America

Until now, Pthirus pubis infestation in ancient human populations had only been recorded in the Old World. We found crab lice on South American mummified bodies from the Atacama Desert region. Crab louse eggs were found attached to the pubic hairs of a 2,000-yr-old Chilean mummy. Well-preserved adults were found in sediment and clothing from a Peruvian mummy dated 1,000 yr ago. Paleoparasitological evidence expands the knowledge of the distribution of this ectoparasite in ancient populations. As with many other parasites, pubic lice recorded in Andean populations show the antiquity of this parasite in the New World. It is likely that P. pubis entered the continent with early human migration to the New World.     

Studies of androgen metabolism and action in cultured hair and skin cells

In order to study the mechanism of action of androgen on pubic and scalp hair, we established these and skin epithelial cells in culture. Because 5 alpha-reductase has been suspected of playing a role in hair growth, we tested the possibility that these cells differ in their pattern of androgen metabolism. Furthermore, we tested the hypothesis that androgen exerts its distinctive effects on these hairs by differentially regulating keratin or DNA synthesis. Anagen hairs of men and women were plucked from the pubis or scalp vertex and were studied using an epithelial cell culture technique. DHT formation from [3H]T cultured skin cells increased in the following order: epidermal less than scalp less than pubic less than fibroblasts = 0.8:2.8:8.1:71%/mg DNA/min, respectively. Androstanediols were minor [3H]DHT metabolites of all these skin cell types. The only feature that distinguished among the cultured epithelial cells was the ratio of apparent 5 alpha-reductase (5 alpha-R) to 17 beta-hydroxysteroid dehydrogenase (17 beta-HSD) activity: this was significantly greater (P less than 0.05) in cultured pubic hair cells than in scalp hair or epidermal cells. Cultured scalp and pubic hair cells resembled freshly plucked hair follicle cells in their keratin pattern. 46, 50, 56 and 58 kdalton bands constituted 99% of the total keratins. This keratin pattern and the polygonal cell shape were also similar to that of cultured epidermal cells. However, this keratin pattern was distinctly different from that of hair shafts which have 53 and 63 kdalton keratins. Dihydrotestosterone did not affect the keratin pattern, pattern of incorporation of [35S]cysteine or [35S]methionine, or rates of protein synthesis or cell proliferation in cultured hair cells. Although the higher apparent 5 alpha-R/17 beta-HSD ratio of cultured pubic than of scalp hairs is compatible with modulation of hair development by androgen, these studies militate against the possibility that androgens directly affect hair cell proliferation or protein synthesis in pubic or scalp hair.     

Infestation of people with lice in Kathmandu and Pokhara, Nepal

The prevalence of infestation with head lice and body lice, Pediculus spp. (Phthiraptera: Pediculidae) and pubic (crab) lice Pthirus pubis (L.) (Phthiraptera: Pthiridae), was recorded from 484 people in Nepal. The prevalence of head lice varied from 16% in a sample of people aged 10-39 years of age, to 59% in street children. Simultaneous infestations with head and body lice (double infestations) varied from 18% in slum children to 59% in street children.     

Maternal mortality or prolonged growth: Age at death and pelvic size in three prehistoric Amerindian populations

This study evaluates the relationship between age at death and pelvic size among adults in three prehistoric Amerindian populations. The issue is to identify if the pelvis continues to grow and remodel in adulthood, or if there is differential survivorship among adults, particularly among females, based on pelvic size. The samples used in this study are Indian Knoll, Pecos Pueblo, and Libben. Twenty-one measures of the pelvis are analyzed. A correlational analysis among individuals 18 years of age and older shows that the subpubic angle narrows with advancing age in both sexes. The suggested etiology is osteophytic growth on the ischiopubic ramus among older adults. A two-sample test comparing younger (ages 18–24) and older (25 years of age and older) adults shows that the linea terminalis (which represents the pubic and iliac components of the pelvic inlet) is significantly shorter in the younger age group, but this pattern is seen only in females. Two interpretations are consistent with this result. First, a female with a short linea terminalis (i. e., small pelvic inlet) may have died at a young age due to childbirth-related complications. In prehistory, maternal mortality may have been a leading cause of death, with pelvic inlet capacity being a determinant of survivorship among parturients. Second, the linea terminalis may be unique by continuing to grow in early adulthood in females but not in males; the growth occurs at the medial border of the pubis. Longitudinal growth studies of modern humans provide support for the second interpretation. The selective advantage of a later age at maturation of the pubis in females than males is that the period of growth is prolonged, thereby contributing to sexual dimorphism in pubic length and, correspondingly, linea terminalis length and pelvic inlet circumference. © 1994 Wiley-Liss, Inc.     

Anatomic study of vaginal width in male-to-female transsexual surgery

Despite the recent improvement in the design of male-to-female sex reassignment operations to enlarge the vaginal vault and depth, the size of the neovagina remains somewhat limited and the exterior of the neovagina may be compressed by the bony structure of pubic rami. The purpose of this study was to determine by anatomic study the possible cause of this limitation. Eighteen male and 10 female cadavers were dissected to measure the distance between the bilateral bony pubic rami (interramic distance) at a level that corresponds to the same level in the vaginal canal of females. At the same level of the vaginal canal in the female, which corresponds to the lower border of the prostate in the male, empirically 3 cm below the bony symphysis pubis, the mean value of the interramic distance was 3.95 +/- 0.25 cm in the male and 5.20 +/- 0.36 cm in the female (p = 0.000). The interramic distance in the male and female is significantly different. In those who have undergone the male-to-female transsexual operation, the newly structured vagina may be ventrolaterally limited. Several factors cause narrowing of the vaginal orifice in male-to-female transsexuals. On the basis of this study, it seems that the bony structure of the pubic rami compresses the vagina ventrolaterally. This finding may suggest refinements of the structural design of the neovagina and prompt procedural changes in male-to-female sex reassignment operations. Future investigation should be directed toward modifying vaginoplasty so that neovaginal width can be increased to the patient's satisfaction.     

A NEW RAUISUCHIAN (ARCHOSAURIA, SUCHIA) FROM THE UPPER TRIASSIC OF THE ARGANA BASIN, MOROCCO

Abstract:  In the 1970s the Upper Triassic strata of the Argana Basin yielded archosaurian remains that were tentatively attributed to the rauisuchian Ticinosuchus . Restudy of this material together with new remains reveal new anatomical data and show that it in fact belongs to a new taxon, Arganasuchus dutuiti gen. et sp. nov. The systematics of the Rauisuchia are still unresolved; nevertheless, a monophyletic suprageneric group can be defined within the probable non-monophyletic rauisuchians. Arganasuchus dutuiti differs from all adequately known rauisuchians in three autapomorphies: acetabular rim on pubis runs anteroventrally parallel to pubic shift rather than being terminal and perpendicular to it; large contribution of pubis to acetabular depression; palatal process of maxillary low and confluent with interdental crest, rather than separated from it by a large area. The maxilla of Arganasuchus resembles those of Batrachotomus and Fasolasuchus in having a Y-shaped rather than a U-shaped form. As in rauisuchids, Arganasuchus dutuiti has short cervical vertebrae and a dorsal border of the proximal extremity of the pubis that is convex in lateral view. It shares one derived character state with Batrachotomus and Postosuchus (a tear-shaped and anteriorly orientated rugosity on the lateral side of the pubis, lying on a deep, longitudinal depression) and one more derived character state with Batrachotomus (narrow ante-acetabular part of the pubis; hence, the anterior border of the proximal extremity of the pubis is almost contiguous with the actabular rim).     

The evolution of witchcraft and the meaning of healing in colonial Andean society

This paper explores the ways in which traditional beliefs of Andean peoples regarding health and sickness were transformed by the process of Spanish colonization. It also examines how the colonial context devolved new meanings and powers on native curers. The analysis of these transformations in Andean systems of meanings and role structures relating to healing depends on an examination of the European witchcraze of the 16th-17th centuries. The Spanish conquest of the Inca empire in the mid-1500's coincided with the European witch hunts; it is argued that the latter formed the cultural lens through which the Spanish evaluated native religion--the matrix through which Andean concepts of disease and health were expressed--as well as native curers. Andean religion was condemned as heresy and curers were condemned as witches. Traditional Andean cosmology was antithetical to 16th century European beliefs in the struggle between god and the devil, between loyal Christians and the Satan's followers. Consequently, European concepts of disease and health based on the power of witches, Satan's adherents, to cause harm and cure were alien to pre-Columbian Andean thought. Ironically European concepts of Satan and the supposed powers of witches began to graft themselves onto the world view of Andean peoples. The ensuing dialectic of ideas as well as the creation of new healers/witches forged during the imposition of colonial rule form the crux of this analysis.     

Morphology of the pubis and preauricular area in relation to parity and age at death in Macaca mulatta

Some adult human females show bone resorption (pitting) at the dorsal aspect of the pubis and preauricular area of the ilium. The etiology of pelvic bone resorption is attributed alternatively to reproduction and to pelvic anatomy. While most researchers infer that pelvic pitting is related to reproduction, only a few studies are based on women of known parity. Degree of pubic resorption is directly associated with both parity (Suchey et al.: Am. J. Phys. Anthropol. 51:517-539, 1979; Bergfelder and Hermann: J. Hum. Evol. 9:611-613, 1980) and age (Suchey et al.: Am. J. Phys. Anthropol. 51:517-539, 1979). The relationship between parity and degree of resorption of the preauricular area is equivocal, found to be significant by Dunlap (A Study of the Preauricular Sulcus in a Cadaver Population, Ph.D. dissertation, East Lansing, Michigan State University, 1981) but not by Spring et al. (Am. J. Phys. Anthropol. 79:247-252, 1989); both studies report that age is not associated with resorption of the preauricular area. Other mammals evidence public resorption, but the morphology of the preauricular area is less well known. This study addresses the issue on the etiology of pelvic bone resorption using a sample of Macaca mulatta (the free-ranging population from Cayo Santiago) for which parity and age at death are known for all specimens. The following results are reported. Resorption of the pubis is common among females but infrequent among males. Contrary to Rawlins (Am. J. Phys. Anthropol. 42:477-488, 1975), the degree of pubic resorption in female macaques is significantly related to both parity and age at death.(ABSTRACT TRUNCATED AT 250 WORDS)     

耻骨联合面形态学特征与年龄关系的再研究

本文用14岁以后(男180人,女140人)的耻骨,对男女耻骨联合面形态特征差异,影响判断年龄的因素,判断男女年龄的各自指标进行了研究。结果表明:男女耻骨形态特征有差异,应分别使用各自指标。经统计方法比较检验,提出了男女各自指标。某些疾病、下肢外伤、严重营养不良、生育等,可产生耻骨形态变异,影响判断年龄。并对59例盲测结果与Snow(1983)法作了讨论。     

Test of Phenice's technique for determining sex from the os pubis

Pubic bone morphology was examined to test the accuracy of Phenice's visual method for determining sex from the os pubis. Twelve participants scored 50 pubic bones from individuals of known sex aged 52-92 years. The sample is of modern males and females, all presumed whites. An accuracy of approximately 83% in determining sex was recorded, compared to 95% reported by Phenice. This accuracy difference may reflect different age distributions of the two samples. Through replication of test results on two series of 25 specimens, the technique was found to be reliable. Previous experiences in human osteological analysis was shown to have no effect on accuracy in this test, confirming Phenice's assertion that the technique does not require extensive experience to yield accurate results. Results suggest that there is a moderate negative correlation between accuracy in determining the sex of an individual and that individual's age.     

Dehydroepiandrosterone sulfate treatment for atrichia pubis

OBJECTIVE: To evaluate the efficacy of oral dehydroepiandrosterone sulfate (DHEAS) treatment for atrichia pubis in female adolescents. STUDY DESIGN: Two XY female adolescents with 17-hydroxylase deficiency and 2 XX females with panhypopituitarism presenting with atrichia pubis were treated with a daily dosage of DHEAS 10 mg/m2 body surface in addition to their regular substitution therapy. The dosage was increased according to clinical response. Pubic hair stages, growth and serum DHEAS were evaluated and in 1 case also serum IGFs and IGFBPs. RESULTS: A dosage of 10 mg/m2 for 1 year led to serum DHEAS levels at the lower limit of the normal range. 15 mg/m2 was needed to achieve pubic hair stage 4-5 and axillary hair in patients with 17-hydroxylase deficiency. In panhypopituitarism, pubic hair developed at a slower pace and reached stage 4 on a dosage of 25-30 mg/m2. Baseline serum IGF-I SDS was -0.67 and did not change on the initial dosage of DHEAS, in combination with submaximal estrogen substitution (10 microg ethinyl estradiol). On the combination of 15 mg/m2 DHEAS and full estrogen substitution, IGF-I SDS increased to an average of -0.15. IGFBP-3 SDS increased from 1.4 to a mean of 2.6 in the first year, and went back to 1.4 in the second year. IGFBP-6 SDS was low at baseline (-2.5) and rose to -1.9 and -1.7 IGF-II and IGFBP-1 showed an irregular pattern. CONCLUSIONS: Oral administration of DHEAS in a dosage of 15 mg/m2 o.d. is an efficacious treatment for atrichia pubis. For females with a panhypopituitarism a higher dosage appears needed. Given this and other biological actions of DHEAS, substitution therapy with DHEAS or DHEA to females with adrenal androgen deficiency appears rational.     

Archosaurian respiration and the pelvic girdle aspiration breathing of crocodyliforms

Birds and crocodylians, the only living archosaurs, are generally believed to employ pelvic girdle movements as a component of their respiratory mechanism. This in turn provides a phylogenetic basis for inferring that extinct archosaurs, including dinosaurs, also used pelvic girdle breathing. I examined lung ventilation through cineradiography (high-speed X-ray filming) and observed that alligators indeed rotate the pubis to increase tidal volume, but did not observe pelvic girdle movement contributing to lung ventilation in guinea fowl, emus or tinamous, despite extensive soft-tissue motion. Re-examination of fossil archosaurs reveals that pubic rotation evolved in basal crocodyliforms and that pelvic girdle breathing is not a general archosaurian mechanism. The appearance of pelvic aspiration in crocodyliforms is a striking example of the ability of amniotes to increase gas exchange or circumvent constraints on respiration through the evolution of novel accessory breathing mechanisms.     

Phenotypic modulation of fibroblastic cells in mice pubic symphysis during pregnancy,partum and postpartum

In many species, the cartilaginous pubic symphysis of the pregnant female is gradually replaced by a fibrous connective tissue, forming a flexible and elastic interpubic ligament. This newly formed ligament is responsible for the separation of the pubic bones, enabling safe delivery of the young. Following labor, the ligament undergoes rapid involution. To our knowledge, no previous work has focused on the phenotypic modulation that is responsible for the changes present at the interpubic ligament throughout the relaxation and closing of the symphysis. The purpose of this study was to investigate the ultrastructural features and immunophenotype of the peculiar cell type found in the pubic symphysis of cycling, pregnant and postpartum mice. In particular, immunohistochemistry studies were conducted on the expressions of the cytoskeletal proteins desmin, vimentin and -smooth muscle actin (-SMA). During pregnancy, the pubic symphysis cells always expressed -SMA, whereas the expression of vimentin and desmin was transient from early pregnancy to postpartum. Furthermore, the expression patterns of these three cytoskeletal proteins were distinct. Cells present in the medial region of the mouse symphysis in cycling and at D12 displayed ultrastructural features characteristic of a typical fibroblast. In contrast, during the last week of pregnancy and in postpartum these cells acquired ultrastructural features representative of a myofibroblast; for example, a fibronexus and a contractile apparatus were found to be present lying in close contact with the extracellular collagenous and elastic system fibrils. Taken together, these results strongly suggest a contractile function for these cells which might contribute to support of the varying mechanical stresses present during pubic bone movement.This work was supported by grants from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). This paper is part of a thesis submitted to the Department of Histology and Embryology of the Biology Institute State University of Campinas, in partial fulfillment of the requirements for the Masters degree.     

La Ferrassie 6 and the development of Neandertal pubic morphology

Functional interpretations of the mediolateral elongation and superoinferior flattening of the superior pubic ramus of Neandertals require knowledge of its ontogeny. Metric comparisons between the La Ferrassie 6 Neandertal infant, aged 3-5 years, and a sample of modern infants reveal that the acetabulosymphyseal length of La Ferrassie 6, relative to femoral length and iliac breadth, falls at the limits of the range of variation of the modern infants, while the relative height of its superior pubic ramus is indistinguishable from that of the modern sample. It appears that acetabulosymphyseal elongation of the Neandertal pubis is a feature which is expressed quite early in ontogeny, well before puberty. Superoinferior flattening and ventral margin thinning of the superior ramus probably appear later in Neandertal ontogeny.