ʻO ka pubic symphysis ka hui e hui ana i nā iwi ʻūhā ʻelua, a i ʻole iwi iliac, ma ke alo o ke pelvis (1).

wahi. Aia ma luna o nā ʻōpū a ma mua o ka ʻōpū, ʻo ka symphysis pubic ka hui mua o nā iwi ʻūhā ʻelua. Me ka sacrum, ua hana kēia mau iwi i ke kāʻei pelvic i ka iwi o ke pelvis. ʻO nā iwi ʻūhā he mau iwi like ʻole i hoʻopili ʻia ma ke kua e ka sacrum a ma mua e ka pubic symphysis. ʻO kēlā me kēia iwi oxal he ʻekolu iwi i hui pū ʻia: ka ilium, ka ʻaoʻao luna o ka iwi coxal, ka ischium, ka ʻaoʻao lalo a ma hope, a me ka pubis, ka ʻaoʻao lalo a me ke alo (2).

'ole. ʻO ka pubic symphysis kahi hui kelepona maikaʻi ʻole i hana ʻia me:

• he fibrocartilaginous interpubic ligament, aia i waenakonu o ka pubic symphysis, i hana ʻia me nā lua hui;
• he ligament interpubic cartilaginous, aia ma kēlā me kēia ʻaoʻao ma waena o ka interpubic fibrocartilaginous ligament a me ka iwi iwi;
• nā ligaments kiʻekiʻe a me lalo e uhi ana i ka symphysis pubic a me ka iwi iwi.

ʻO ke kūlana Shock absorber. ʻO ke kūlana a me ke ʻano o ka pubic symphysis e hāʻawi iā ia i mea hoʻopuʻihaʻi ma o ka hoʻololi ʻana i nā koʻikoʻi tensile, compressive a me ka shear like ʻole e hiki ke loaʻa i ke pelvis (3).

Hana i ka wā hānau. I ka wā o ka hānau ʻana, he kuleana koʻikoʻi ka pubic symphysis ma muli o kona maʻalahi e hiki ai i ka wehe nui ʻana o ke pelvis a me ka maʻalahi o ka hele ʻana o ka pēpē. 

Hiki ke hoʻopili ʻia ka symphysis pubic a me nā hale anatomical e pili ana, e like me nā iwi ʻāʻī, e nā kūlana o ka rumatika, infectious, degenerative a traumatic origin (4).

ʻO ke kino o ke pelvic a me ka haki. ʻAʻole pinepine, hiki i nā haʻihaʻi i loko o ke pelvis ke komo i ka symphysis pubic. ʻO ka pinepine lākou ma muli o ka ʻehaʻeha i hiki ke kumu i ka disjunction symphyseal. ʻO ka hope e pili ana i ka neʻe ʻana o kahi hemi-pelvis e pili ana i kekahi.

ʻO ka anukolipo spondylitis. Hoʻopilikia i nā hui o ka vertebrae, a ʻoi aku ka nui o nā hui sacroiliac, hiki i kēia maʻi inflammatory rheumatic ke hoʻopili i ka symphysis pubic (4).

osteoporosis. Kuhi kēia pathology i ka nalo ʻana o ka momona o ka iwi i ʻike pinepine ʻia i ka poʻe ma luna o 60 mau makahiki. Hoʻonui ia i ka nāwaliwali o ka iwi a paipai i nā bila. (5)

Hoʻoiho iwi. ʻO kēia pathology ka ulu ʻana a i ʻole ka hoʻoponopono hou ʻana o ka ʻiʻo iwi a me nā maʻi he nui. ʻO kekahi o ka maʻi maʻamau, ʻo Paget's maʻi (6) ke kumu o ka iwi densification a me ka deformation, e alakaʻi ana i ka ʻeha. No ka algodystrophy, pili ia i ke ʻano o ka ʻeha a me / a i ʻole ka paʻakikī ma hope o kahi trauma (fracture, surgery, etc.).

Laau lapaau. Ma muli o ka pathology i ʻike ʻia, hiki ke kuhikuhi ʻia kekahi mau lāʻau e hōʻemi i ka ʻeha.

Lapaʻau Orthopedic. Ma muli o ke ʻano o ka haʻi, hiki ke hoʻokō ʻia ka lāʻau orthopedic.

Lapaʻau ʻoki kino. Kaukaʻi ʻia i ka pathology a me kona evolution, hiki ke hana i ke ʻoki.

Lapaʻau kino. Hiki ke kuhikuhi ʻia nā hoʻoponopono kino, ma o nā papahana hoʻoikaika kino e like me ka physiotherapy a i ʻole ka physiotherapy.

Ninaninau kino. ʻO ka mea mua, hana ʻia kahi hoʻokolokolo kino e ʻike ai i nā neʻe ʻeha a me ke kumu o ka ʻeha.

Nānā kiʻi lāʻau lapaʻau. Ma muli o ka mea i manaʻo ʻia a hōʻoia ʻia paha, hiki ke hana ʻia nā hoʻokolohua hou e like me ka X-ray, ultrasound, CT scan, MRI, scintigraphy a i ʻole densitometry iwi.

Nānā Lapaʻau. I mea e ʻike ai i kekahi mau pathology, hiki ke hoʻokō ʻia ke koko a me ka mimi e like me, e laʻa me ke ana o ka phosphor a me ka calcium.

ʻO ka pubalgia, i kapa ʻia ʻo ka haʻuki, ʻike ʻia e ka ʻeha ma ka pubic symphysis.