The pubic crest is the thick, rough upper border of the body of the pubic bone, running from the pubic tubercle out at the side to the pubic symphysis in the midline. The rectus abdominis and pyramidalis attach to it, and the conjoint tendon (inguinal falx) blends with its lateral part. It can be felt just above the genitals on each side of the midline.
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| Ossification | Part of the pubis, which ossifies from a primary centre appearing around the fourth to fifth fetal month; it fuses with the ilium and ischium at the acetabulum in adolescence. |
The pubic crest is where the abdominal muscles above meet the adductor muscles below through a shared aponeurosis, and this region is a common source of groin pain in kicking and cutting sports. Injury here (often called athletic pubalgia or core muscle injury) causes pain at the crest with sit-ups and resisted adduction. The crest is also a landmark for inguinal hernia repair and for lower midline and Pfannenstiel incisions.
Injury of the rectus abdominis and adductor attachments around the pubic crest and tubercle, causing exertional groin pain in athletes.
Painful stress reaction of the pubic bones around the symphysis and crest from repetitive loading, common in footballers and runners.
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