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Pubic symphysis diastasis (also known as diastasis symphysis pubis) is the separation of normally joined pubic bones, as in the dislocation of the bones, without a fracture that measures radiologically more than 10 mm. Separation of the symphysis pubis is a rare pathology associated with childbirth and has an incidence of 1 in 300 to 1 in 30,000 births.
One specific kind of pelvic fracture is known as an 'open book' fracture. This is often the result of a heavy impact to the groin (pubis), a common motorcycling accident injury. In this kind of injury, the left and right halves of the pelvis are separated at front and rear, the front opening more than the rear, i.e. like an open book that falls ...
The pubic symphysis is a nonsynovial amphiarthrodial joint. The width of the pubic symphysis at the front is 3–5 mm greater than its width at the back. This joint is connected by fibrocartilage and may contain a fluid-filled cavity; the center is avascular, possibly due to the nature of the compressive forces passing through this joint, which may lead to harmful vascular disease. [2]
A pelvic binder should be placed over the upper femurs, specifically the greater trochanters. [1] [2] This is the best position to reduce diastasis symphysis pubis. [5] A CT scan can be used to observe the effective placement of a pelvic binder. [2] A bed sheet may be used as part of a pelvic binder. [1] A pelvic binder compresses pelvic ...
Symphysis pubis dysfunction (SPD), commonly known as pubic symphysis dysfunction or lightning crotch, [1] is a condition that causes excessive movement of the pubic symphysis, either anterior or lateral, as well as associated pain, possibly because of a misalignment of the pelvis.
A symphysis (/ ˈ s ɪ m. f ɪ. s ɪ s /, pl.: symphyses [1]) is a fibrocartilaginous fusion between two bones. It is a type of cartilaginous joint, specifically a secondary cartilaginous joint. A symphysis is an amphiarthrosis, a slightly movable joint. A growing together of parts or structures. Unlike synchondroses, symphyses are permanent. [2]
Direct (or indirect via the proximal femur) lateral impact against the pelvic ring Superior directed force to one side of the pelvis Combination of other injury vectors (e.g. LC + VS) APC I - Symphysis widening < 2 cm LC I - Compression fractures of the pubic rami (superior pubic ramus and inferior pubic ramus) and ipsilateral anterior sacral ala
Symphysiotomy is a surgical procedure in which the cartilage of the pubic symphysis is divided to widen the pelvis allowing childbirth when there is a mechanical problem (obstructed labour). It is also known as pelviotomy [ 1 ] and synchondrotomy. [ 1 ]