Adenodiastasis: Pelvic Bone Separation – Clarification & Context

Terminology Alert

"Adenodiastasis" is not a standard medical term. It appears to be a conflation of:

• Diastasis = separation of normally joined structures (e.g., diastasis recti = rectus abdominis separation; diastasis of pubic symphysis = postpartum separation).
• Adeno- = gland (e.g., adenoid, adenocarcinoma).

Likely Intended Concepts

1. Diastasis of the Pubic Symphysis (DPS): Separation >10 mm of pubic bones postpartum or from trauma. Causes pelvic pain, instability. Managed with PT, binder, rarely surgery.
2. Diastasis Recti Abdominis (DRA): Separation of rectus abdominis muscles along linea alba. Common postpartum, obesity. Core rehab, surgery if severe.
3. Adenomyosis: Endometrial glands in myometrium (unrelated to bone).

Pelvic Bone Anatomy

The pelvic ring: two innominate bones (ilium, ischium, pubis) + sacrum. Joints: pubic symphysis (fibrocartilaginous), sacroiliac joints (synovial). "Bones of pelvis not fused properly" suggests congenital pelvic malformation or traumatic disruption, not "adenodiastasis."

Recommendation

Clarify the clinical context. Use precise terminology: pubic symphysis diastasis, diastasis recti, pelvic ring disruption, congenital pelvic anomaly.