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Understanding the Maternal Passage
Published in Gowri Dorairajan, Management of Normal and High Risk Labour During Childbirth, 2022
Three clinically relevant anterior-posterior diameters extend from the pubic symphysis in front to the sacral promontory behind. Let us learn the details of these diameters. These are called conjugates. It is important to understand that the pubic symphysis is a biconvex joint and has upper and lower borders and anterior and posterior surfaces.
Radionuclide Bone Scintigraphy
Published in Michael Ljungberg, Handbook of Nuclear Medicine and Molecular Imaging for Physicists, 2022
Kanhaiyalal Agrawal, Gopinath Gnanasegaran
Focal tracer uptake at the ossifying ischiopubic synchondrosis in children between 4 and 12 years of age is normal [10]. In postpartum women, increased uptake in the pubic symphysis could be due to increased stress reaction or pelvic diastases [7]. Transient tracer uptake in the uterus on early phases of the three-phase bone scan in women of the reproductive age group is physiological. Sometimes altered tracer distribution in bowel is confused with bone uptake.
Urinary system
Published in Aida Lai, Essential Concepts in Anatomy and Pathology for Undergraduate Revision, 2018
Relationships of bladder– ant.: pubic symphysis– lat.: levator ani and obturator internus– post.: rectum in males, and vagina in females
Perinatal pubic symphysis separation combined with pubic fracture: a case report and literature review
Published in Journal of Obstetrics and Gynaecology, 2022
Liang Deng, Liang-Yu Xiong, Ji-Huan Zeng, Qiang Xiao, Yuan-Huan Xiong
In terms of the treatment, for pubic symphysis separation with separation distance ≤ 40 mm, conservative treatment can be performed with a pelvic correction belt. The elasticity of the pelvic correction belt can fix the crotch, tighten the separated pelvis, protect the pubis, and relieve the pain of pubic. Hence, the mechanical distribution of pelvis, back and buttock can be further improved, and the pubic symphysis can be recovered and maintained in the normal anatomical position (Culligan et al. 2002). For the parturient with a separation distance > 40 mm or combined with the persistent pain and pelvic instability, the active surgical intervention may be a sensible choice. With regard to this, the common surgical methods include external fixation and internal fixation, in which the internal fixation is the preferred method (Sujana et al. 2017). The internal fixation mainly includes the screws and steel plates fixation, which can provide sufficient mechanical stability and effective compression resistance and anti-rotation ability. In recent years, the minimally invasive surgeries represented by percutaneous cannulated screws have obtained remarkable results, which can effectively reduce the surgical trauma, shorten the operation time, and further contribute to the rapid postoperative recovery (Saeed et al. 2015). In this case, we have applied the conventional open reduction and internal fixation, and fixed with screws and steel plates. After one year of follow-up, the screws and steel plates were still fixed firmly and the separation distance of pubic symphysis was also effectively controlled.
Long-standing groin pain in an elite athlete: usefulness of ultrasound in differential diagnosis and patient education – a case report
Published in European Journal of Physiotherapy, 2018
Kingsley S. R. Dhinakar, Anjanette Cantoria Lacaste
Groin pain is common in sporting activities that involve kicking, quick sprinting, change of direction and cutting swiftly as in hockey, soccer and basketball. Athletic pubalgia (AP) is a commonly used term that is broadly defined as pain in the groin and pubic region. However, groin pain in athletes was the preferred umbrella term (using specific defined clinical entity) ahead of other such as athletic pubalgia, athletic groin pain, sports groin pain, athlete’s groin because it is clearly descriptive based on the Doha agreement meeting on terminology and definitions in groin pain in athletes 2015 [1]. Groin pain can occur in both male and female athletes but it is more prone to male. Campanelli [2] suggests that males are at an increased risk of groin pain as females have a wider and larger subpubic angle and stronger rectus abdominis attachments at the symphysis pubis. The larger and wider pelvis biomechanically dissipates forces away from the pubic symphysis and groin region, thus reducing the incidence in females. There is no dearth of literature describing groin pain and its various causes, however, largely this condition is poorly defined and poorly understood due to unclear aetiopathology. This lack of understanding is further compounded due to the involvement of multiple structures posing a clinical challenge. Therefore, only using traditional methods (without using instrumental diagnosis) of examination and assessment may mislead the clinician and result in failed treatment. Garvey et al. [3] and Balconi [4] suggest the following causes for groin pain as shown in Table 1.
Telerehabilitation for pelvic girdle dysfunction in pregnancy during COVID-19 pandemic crisis: A case report
Published in Physiotherapy Theory and Practice, 2022
The patient presented with a reduced active range of motion of hip abduction and external rotation on the left side with an inability to maintain hip abduction on the left side due to pain. The symptoms were aggravated when the patient performed a sit-to-stand activity but not vice versa. While performing a sit-to-stand activity, the patient had pain at the left side sacroiliac joint and pubic symphysis. While doing bed transitions, she complained of pain at the pubic symphysis. Based on the observed impairments and functional limitations, the author concluded that the patient presented with a pubic symphysis dysfunction along with left sacroiliac joint (SI joint) dysfunction likely a posterior innominate on the left side.