Pubic symphysis

: symphyses) is a secondary cartilaginous joint between the left and right superior rami of the pubis of the hip bones.

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.

Glycosaminoglycans are long, unbranched polysaccharides (relatively complex carbohydrates) consisting of repeating disaccharide units.

This cartilage has poor healing potential, and efforts to induce it to repair itself frequently end up with a similar, but poorer fibrocartilage.

Analysis of the pelvis shows the skinny regions function as arches, transferring the weight of the upright trunk from the sacrum to the hips.

The symphysis pubis connects these two weight-bearing arches, and the ligaments that surround this pelvic region maintain the mechanical integrity.

In most cases, the joint can only be successfully reduced into its normal position by a trained medical professional[citation needed].

Metabolic diseases, such as renal osteodystrophy, produce widening, while ochronosis results in calcific deposits in the symphysis.

Degenerative joint disease of the symphysis, which can cause groin pain, results from instability or from abnormal pelvic mechanics.

[4] During pregnancy in the human, hormones such as relaxin remodel this ligamentous capsule allowing the pelvic bones to be more flexible for delivery.

[8] Symphysiotomy is a surgical procedure in which the cartilage of the pubic symphysis is divided to widen the pelvis allowing childbirth when there is a mechanical problem.

Symphysiotomy is suggested for woman in isolated areas experiencing obstructed labor where other medical intervention is unavailable.