Morphological changes due to exposure to chronic inflammation of pubic symphysis

Chronic inflammation causes structural and functional changes in the tissues of the pubic
symphysis, which leads to pain syndrome and limited movement in children, adolescents, and adults. There
are many different scientific systematic reviews and studies devoted to the pubic symphysis, which are
mainly presented in foreign literature. Although the study of this anatomical structure made it possible to
obtain valuable information for practical medicine, some morphofunctional aspects of the pubic symphysis
remain unclear to this day. Any gaps in knowledge, even small, prevent a full understanding of the normal
structure and function of the joint, which can negatively affect the identification of the mechanisms of
development of various pathological conditions in it. This review is dedicated to the modern normal
systemic anatomy of the human pubic symphysis, focusing on the components of the symphysis, blood
supply, innervation, biomechanical properties, and physiological changes during pregnancy. It also
examines aspects of forensic anthropology related to quantitative morphological and microarchitectural
changes in the surface of the pubic symphysis in unidentified remains, as well as the extremely important
role of the pubic symphysis in pelvic injuries.