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Separation of the symphysis pubis (diastasis) An X-ray film obtained in the AP view of the pelvic inlet and outlet will show a marked gap between the pubic bones. [3] A normal pelvis will show a gap that is 4–5 mm. However, in pregnancy the hormonal influences cause relaxation of the connecting ligaments and the bones separate up to 9 mm. A ...
Coverage on the x-ray should include from the top of the Liver (or diaphragm) to the pubic symphysis. The abdominal organs included on the xray are the liver , spleen , stomach , intestines , pancreas , kidneys , and bladder .
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]
In pathology, diastasis is the separation of parts of the body that are normally joined, such as the separation of certain abdominal muscles during pregnancy, or of adjacent bones without fracture. [ 1 ]
Pubic symphysis diastasis is an extremely rare complication that occurs in women who are giving birth. Separation of the two pubic bones during delivery at the symphyseal joint is extremely rare. Typically, during the birthing process, there is a sound that can be heard by the human ear to detect that there could be a case of symphyseal diastasis.
The retropubic space is a surgical landmark that has surgical significance in several gynecological and urological procedures. Access to the space is achieved by separating the rectus abdominis muscle at the mid line, and bluntly dissecting the tissue in the direction of the symphysis pubis, until reaching the peritoneum.
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The pelvic brim is an approximately butterfly-shaped line passing through the prominence of the sacrum, the arcuate and pectineal lines, and the upper margin of the pubic symphysis. The pelvic brim is obtusely pointed in front, diverging on either side, and encroached upon behind by the projection forward of the promontory of the sacrum.