Pubic dysfunction superior

Primary pubic dysfunctions are superior-inferior or abducted-adducted dysfunctions. 

Pubic dysfunctions are iikewise named for die positive motion tests. The pubic ramus typically follows the position of the ASIS, but this is not always the case. The plasticity of bone may allow for some warping, opposite to the ASIS finding. Before drawing a conclusion, examination must be performed. A superior pubic shear and an inferior pubic shear may occur in the expected ASIS direction. They can be opposite. There are also torsions possible, as well as adducted and abducted pubes. Childbirth, wherein cartilage is softened by relaxin, is probably the greatest predisposing factor for abducted pubic dysfunction. Adducted pubes may be trauma or rebound related. Sometimes the only indications that there is a dysfunction when the pubic rami appear symmetrical are the symptoms of the patient Aseptic cystitis, pubic pain, prostatitis, pelvic paresthesias, enuresis, or other symptoms may also be betier indicators of pubic dysfunction. 

FIG. 61-6 Muscle energy technique for superior pubic dysfunction. 

The diagnosis of pelvic dysfunction concentrates on two aspects of the innominate the ilium and the pubic components. Generally, the landmarks of the posterior superior iliac spine (PSIS), anterior superior iliac spine (ASIS), pubic rami, and their other relative structures can give some static findings as to the diagnosis. As with other regions of the body, motion testing indicates the side of the dysfunction. 

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