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A-P Full Spine and Lumbar, Sacrum, and Coccyx Views
Published in Russell L. Wilson, Chiropractic Radiography and Quality Assurance Handbook, 2020
Set the side-to-side collimation to slightly less than 14 in. Open the top-to-bottom collimation until it covers from EAM to 1 in. below the symphysis pubis. The horizontal central ray and film may need a minor adjustment to set these limits. Make sure that the film is centered to the horizontal central ray and the film is pushed completely into the center of the Bucky.
The Reproductive System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
On either side of the labia minora are the labia majora (singular: labium majus), elevations of skin and fatty tela subcutanea, the loose connective tissue beneath the skin. When the legs are close together, the labia majora touch medially to form the pudendal cleft. The labia majora are homologous to the male scrotum and enclose and protect the other external genital organs. Superior to the pudendal cleft is the mons pubis (commonly called the pubic mound), a rounded elevation of tissue similar to the labia majora and covering the symphysis pubis (the joint of the pubic bones; symphysis = "growing together"). After puberty, the mons pubis and labia majora become covered with short coarse pubic hairs.
Fundamentals
Published in Clare E. Milner, Functional Anatomy for Sport and Exercise, 2019
Cartilaginous joints are those in which the articulating bones are connected by cartilage. They do not have a joint cavity. The amount of movement possible at cartilaginous joints varies from immovable to highly movable, with synchondroses being immovable and symphyses being slightly or highly movable. A synchondrosis is a joint where the bones are firmly connected by hyaline cartilage (see articulating surfaces). Examples include the epiphyseal (growth) plates in the long bones of the extremities and sternocostal synchondroses between the sternum (breastbone) and the anterior end of the ribs in the thoracic cage (see thoracic region – joints). The second type of cartilaginous joint is a symphysis, in which the bones are connected by fibrocartilage. In these joints, hyaline cartilage is present on the articulating parts of the bone. These joints are somewhat movable and include the intervertebral joints. The fibrocartilaginous intervertebral disc connects the vertebral bodies and acts as a shock absorber within the vertebral column (see thoracic region – joints). Another example is the pubic symphysis on the anterior aspect of the pelvis (see lumbar spine and pelvis – bones). This joint becomes quite flexible prior to childbirth to enable the infant to pass more easily through the birth canal.
Findings in ancient Egyptian mummies from tomb KV64, Valley of the Kings, Luxor, with evidence of a rheumatic disease
Published in Scandinavian Journal of Rheumatology, 2023
LM Öhrström, R Seiler, S Bickel, F Rühli
The skeleton is intact, in full anatomical position. The skull is tilted forwards and multiple bandage layers are recognizable. The arms are placed next to the body with the hands in front of the pelvis, but not clasped. The pelvis is slightly inclined to the right side. There is a discrete convex scoliotic malposition of the lumbar spine to the right side and a discrete left convex malposition of the cervical spine, as well as flattening and missing lordosis of the lumbar spine, and missing kyphosis of the thoracic spine (Figure 5B). These are presumably post-mortem changes, caused by the body positioning within the coffin. The dens axis is centred, and no significant degenerative or erosive changes of the spine and articulations are recorded. The cranial cavity appears to be empty; no brain remnants or residues of embalming substance can be delimited. Within the thoracoabdominal and pelvic regions, there are several hyperdense areas found bilaterally, presumably packing material or organ packages. The epiphyseal plates are predominantly closed (at most, still partial delineation of a very fine remnant line at the femoral heads, distal femora, and proximal tibiae). The symphyses show possible slight degenerative changes. No further pathological changes or variants from anatomical norms are observed.
Minimal-contact physical interventions for pregnant women with musculoskeletal disorders: a systematic review of randomised and non-randomised clinical trials
Published in Journal of Obstetrics and Gynaecology, 2022
Chukwuebuka P. Onyekere, Grace N. Emmanuel, Benjamin C. Ozumba, Chinonso N. Igwesi-Chidobe
For pubic symphysis pain, Flack et al. (2015) reported that flexible neoprene belt reduced pain intensity more than rigid nylon belt. However, pain preceding 24 hours decreased in the flexible belt group compared to the rigid belt group while combining the two groups, pain intensity preceding week also decreased overall. Depledge et al. (2005) reported that verbal and written education about the anatomy and pathology of symphysis pubis dysfunction and self-help management, multimodal home-based exercise plus rigid/non-rigid belt reduced pain intensity. However, on group comparison, there was significant reduction in pain intensity for the exercise-only group and the group receiving exercise plus a rigid belt but not for the group receiving exercise plus a non-rigid belt (evidence: high).
A rare case of primary vulvar endometriosis: case report and review of the literature
Published in Journal of Obstetrics and Gynaecology, 2022
Marco Scioscia, Marco Noventa, Marcello Desgro, Loredana Iaria, Diana Sacchi, Bruna A. Virgilio
The first case was reported by Damgaard and Andersen (Damgaard and Andersen 1983) in 1983. Tabbara et al. (1991) reported a case of primary vulvar endometriosis in a 33-years-old woman. The solid mass was localised to the subcutaneous tissue on the symphysis pubis. Like in our case, the same diagnostic procedure was used by Fulciniti et al. (2005) that reported in a retrospective series of 10 cases of cutaneous endometriosis, a case of primary vulvar endometriosis. It was identified using fine-needle cytology in a nulliparous woman of 34 years of age. All these studies did not report details about clinical and surgical outcomes. A case of spontaneous cutaneous endometriosis in the right mons pubis region was reported by Zhai (2014). A solid mass was found in a 41-year-old woman suffering from cyclic pain and local swelling.