Database : MEDLINE
Search on : Pubic and Symphysis and Diastasis [Words]
References found : 236 [refine]
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  1 / 236 MEDLINE  
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[PMID]: 29198716
[Au] Autor:Petryla G; Uvarovas V; Satkauskas I; Masionis P; Porvaneckas N
[Ad] Address:Department of Orthopedics and Traumatology, Vilnius University Faculty of Medicine, Republican Vilnius University Hospital, Siltnamiu Str. 29, 04130, Vilnius, Lithuania.
[Ti] Title:Non-anatomic fixation for longstanding traumatic pubic diastasis using a bone graft: A report of two cases.
[So] Source:Chin J Traumatol;20(6):362-365, 2017 Dec.
[Is] ISSN:1008-1275
[Cp] Country of publication:China
[La] Language:eng
[Ab] Abstract:The incidence of internal fixation failure of symphysis diastasis varies from 6% to 75%. Hardware breakage or migration and symphysis disruption recurrence are often asymptomatic and only in a few cases reoperation is required. This report describes the managements of two cases after failed internal fixation and neglected traumatic symphysis diastasis when it was technically impossible to achieve anatomical reduction of the anterior pelvic ring. Internal fixation and a bone graft for the symphysis without anatomical reposition were performed. Both of the patients achieved good results and had no complaints of pain during daily activities. Restoration of the anatomy should not be the aim in treating recurrence of the symphysis diastasis after failed fixation. The aim of the surgery was static fixation of the anterior pelvic ring with bone grafting.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[St] Status:In-Process

  2 / 236 MEDLINE  
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[PMID]: 29504860
[Au] Autor:Jones B; Berent AC; Weisse CW; Hart R; Alvarez L; Fischetti A; Horn BD; Canning D
[Ti] Title:Surgical and endoscopic treatment of bladder exstrophy-epispadias complex in a female dog.
[So] Source:J Am Vet Med Assoc;252(6):732-743, 2018 Mar 15.
[Is] ISSN:1943-569X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:CASE DESCRIPTION A 14-week-old 7.7-kg (16.9-lb) sexually intact female Golden Retriever was evaluated because of urine dripping from the caudoventral aspect of the abdomen. CLINICAL FINDINGS Ultrasonography, radiography, excretory CT urography, and vaginocystourethroscopy were performed. Results indicated eversion of the bladder through the ventral abdominal wall with exposure of the ureterovesicular junctions, pubic diastasis, and an open vulva and clitoral fossa. Clinical findings were suggestive of bladder exstrophy, a rare congenital anomaly. TREATMENT AND OUTCOME The dog was anesthetized and bilateral ileal osteotomies were performed. Two ureteral catheters were passed retrograde into the renal pelves under fluoroscopic guidance. The lateral margins of the bladder, bladder neck, and urethra were surgically separated from the abdominal wall, and the bladder was closed, forming a hollow viscus. The symphysis pubis was closed on midline with horizontal mattress sutures. The defects in the vestibule and clitoral fossa were closed. Lastly, the iliac osteotomies were stabilized. The dog was initially incontinent with right hind limb sciatic neuropraxia and developed pyelonephritis. Over time, the dog became continent with full return to orthopedic and neurologic function, but had recurrent urinary tract infections, developed renal azotemia likely associated with chronic pyelonephritis, and ultimately was euthanized 3.5 years after surgery because of end-stage kidney disease. CLINICAL RELEVANCE Bladder exstrophy and epispadias is a treatable but rare congenital abnormality. The procedure described could be considered for treatment of this condition, but care should be taken to monitor for urinary tract infections and ascending pyelonephritis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:In-Data-Review
[do] DOI:10.2460/javma.252.6.732

  3 / 236 MEDLINE  
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[PMID]: 29300255
[Au] Autor:Hines KN; Badlani GH; Matthews CA
[Ad] Address:From the Department of Urology, Wake Forest Baptist Health Medical Center, Winston Salem, NC.
[Ti] Title:Peripartum Perineal Hernia: A Case Report and a Review of the Literature.
[So] Source:Female Pelvic Med Reconstr Surg;, 2018 Jan 03.
[Is] ISSN:2154-4212
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVES: This article reviews the literature for the management and repair of perineal hernias and presents a previously undescribed case of perineal bladder herniation after intrapartum pubic symphysis rupture. METHODS: A review of the literature was completed through the PubMed database using the search terms "bladder," "canal of Nuck," "labial hernia," "gynecology," "hernia," "obstetrics," "perineal hernia," "postpartum," "pubic diastasis," "pubic symphysis," "vaginal delivery," "symphyseal rupture," and "symphyseal separation." The electronic medical record for the patient was reviewed and used with the consent of the patient. RESULTS: There were no reports of peripartum perineal hernias in the English language literature on human subjects. Literature review with the previously mentioned search terms demonstrated that there is not a standardized approach to repair given the rarity of these defects. There are data to support the use of mesh as opposed to primary repair but no data to support abdominal versus perineal versus combined approach. We describe a successful repair of a complicated peripartum perineal hernia using a combined abdominal-perineal approach with mesh. CONCLUSIONS: Obstetric trauma is a previously unreported cause of perineal hernias. Perineal hernias are rare conditions that must be considered in any patient who presents with a bulging perineal mass. Puerperal pubic symphysis rupture can lead to a large bladder hernia. Our combined abdominal-perineal approach of repair resulted in minimal perioperative morbidity and short-term resolution of the hernia.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180104
[Lr] Last revision date:180104
[St] Status:Publisher
[do] DOI:10.1097/SPV.0000000000000534

  4 / 236 MEDLINE  
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[PMID]: 28878532
[Au] Autor:Jain M; Nanda SN; Mohapatra SS; Samal BP
[Ad] Address:Dept of Orthopedics, AIIMS, Bhubaneswar, India.
[Ti] Title:Bladder incarceration following anterior pelvic infix of a traumatic pubic symphysis diastasis treated with immediate open reduction and internal fixation.
[So] Source:J Clin Orthop Trauma;8(Suppl 1):S11-S16, 2017 Aug.
[Is] ISSN:0976-5662
[Cp] Country of publication:India
[La] Language:eng
[Ab] Abstract:Stabilization after a pelvic fracture can be accomplished using multiple techniques. The anterior external fixator has been traditionally used in variety of unstable pelvis either singly or in combination of posterior screws. These devices are cumbersome and restrict side turning and sitting particularly in obese patients. An alternative, anterior subcutaneous pelvic internal fixation technique (ASPIF) was developed which is well tolerated by patients for mobility and comfort and biomechanically more stable construct Complications of this construct included irritation of the lateral femoral cutaneous nerve, femoral nerve palsy &heterotypic ossification with reduced rates of infections and aseptic loosening as compared to external fixator. Bladder incarceration following treatment has never been reported and we encountered such a problem during management which we want to highlight.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170910
[Lr] Last revision date:170910
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1016/j.jcot.2017.06.010

  5 / 236 MEDLINE  
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[PMID]: 28878511
[Au] Autor:Gill JR; Murphy C; Quansah B; Carrothers A
[Ad] Address:Department of Trauma and Orthopaedics, Cambridge University Hospitals, Addenbrooke's, Cambridge, United Kingdom.
[Ti] Title:Management of the open book APC II pelvis: Survey results from pelvic and acetabular surgeons in the United Kingdom.
[So] Source:J Orthop;14(4):530-536, 2017 Dec.
[Is] ISSN:0972-978X
[Cp] Country of publication:India
[La] Language:eng
[Ab] Abstract:The results of this questionnaire show that the opinion of pelvic and acetabular surgeons in the UK and Republic of Ireland vary as to the best method of fixation for APC II pelvic injuries. A single anterior plate and single sacroiliac joint (SIJ) screw was the most popular fixation method, chosen by 34%. 74% favour a single, opposed to two orthogonal anterior plates. Posterior fixation supplementing anterior plating is preferred by 63% of surgeons, 58% use a single versus 42% two SIJ screws. Case by case assessment and intraoperative screening to assess stability is essential when considering whether to stabilise the SIJ.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170910
[Lr] Last revision date:170910
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1016/j.jor.2017.08.004

  6 / 236 MEDLINE  
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[PMID]: 28822629
[Au] Autor:Buitendyk M; Brennan B; Vora P; Smith P; Winsor S
[Ad] Address:Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON. Electronic address: marie.buitendyk@medportal.ca.
[Ti] Title:Acute Intrapartum Rupture of the Pubic Symphysis Requiring Resuscitation and Surgical Intervention: A Case Report.
[So] Source:J Obstet Gynaecol Can;, 2017 Aug 16.
[Is] ISSN:1701-2163
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:BACKGROUND: Pubic symphysis rupture significant enough to cause serious complications or require surgical intervention is exceedingly rare. Here we review the literature and examine the details of a unique presentation. CASE: A 27-year-old woman presented in labour at 34+6 weeks gestation after an uncomplicated monochorionic-diamniotic twin pregnancy. After vaginal delivery, she developed a substantial labial hematoma. Hours later, she became hemodynamically unstable. Imaging revealed a 4.7-cm pubic diastasis and a small arterial tear. One week later, the diastasis had expanded to 6 cm on X-ray. As a result, the patient underwent surgical intervention. She was discharged home on postpartum day 21 and remained non-weight-bearing for 8 weeks. CONCLUSION: Pubic symphysis rupture is a potentially life-threatening obstetrical complication that requires early recognition and effective multidisciplinary care.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1708
[Cu] Class update date: 170820
[Lr] Last revision date:170820
[St] Status:Publisher

  7 / 236 MEDLINE  
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[PMID]: 28796685
[Au] Autor:Lasbleiz J; Sevestre FX; Moquet PY
[Ad] Address:Departments of Radiology, Gynecology, and Orthopedy, Clinique Mutualiste de la Sagesse, Inserm, UMR 1099, and LTSI, University of Rennes 1, Rennes, France.
[Ti] Title:Using an Elastic Band Device After a Severe Obstetric Pubic Symphyseal Separation: Clinical and Imaging Evaluation.
[So] Source:Obstet Gynecol;130(3):625-629, 2017 Sep.
[Is] ISSN:1873-233X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Severe separation of the pubic symphysis is a rare delivery complication. Facing this pathology, we decided to study a new elastic band device. METHOD: To evaluate the elastic band device, clinical (pain-rated) and imaging (magnetic resonance imaging and radiography) evaluations with and without the device were performed. The elastic band device is a European Conformity-certified medical device, which is made of neoprene straps, that reduces the mobility of the pelvis and the use of the internal rotator muscles. EXPERIENCE: Once the elastic band device was in place, on postpartum day 1, radiography showed a decrease of the pubic width from 41 to 12 mm. Furthermore, pain decreased from 10 of 10 to 2 of 10 in 2 days, allowing the patient to ambulate and avoid surgery. After 1 month, the pubic width (6 mm) and anatomy were recovered but minor pain was still present with hip rotatory movements. The elastic band device was worn 24 hours a day from postpartum days 1-90 and 12 hours a day from postpartum days 90 to 150; afterward, the patient returned to normal life without the elastic band device. CONCLUSION: Use of an elastic band device was associated with a reduction of the pubic width and pain associated after obstetric pubic symphysis separation.
[Mh] MeSH terms primary: Fracture Fixation/instrumentation
Obstetric Labor Complications/diagnostic imaging
Pubic Symphysis Diastasis/diagnostic imaging
Pubic Symphysis/injuries
[Mh] MeSH terms secundary: Adult
Diagnosis, Differential
Female
Humans
Infant, Newborn
Magnetic Resonance Imaging
Male
Pelvic Pain/etiology
Pregnancy
Pubic Symphysis/surgery
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170908
[Lr] Last revision date:170908
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:170811
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002194

  8 / 236 MEDLINE  
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[PMID]: 28633151
[Au] Autor:Oetgen ME; Andelman S; Martin BD
[Ad] Address:*Department of Orthopaedic Surgery and Sports Medicine, Children's National Medical Center, Washington, DC; and†Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY.
[Ti] Title:Age-Based Normative Measurements of the Pediatric Pelvis.
[So] Source:J Orthop Trauma;31(7):e205-e209, 2017 Jul.
[Is] ISSN:1531-2291
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVES: Pediatric pelvic trauma is associated with high rates of morbidity and mortality. Current classifications do not take into account age-dependent quantitative differences of the pediatric pelvis making accurate diagnosis of pathologic diastasis of the pubic symphysis, sacroiliac (SI) joints, and triradiate cartilage difficult. The purpose of this study was to establish age-based normative values for the width of the pubic symphysis, SI joints, and the triradiate cartilage of the pediatric pelvis. METHODS: All computed tomographic (CT) scans of the abdomen and pelvis from patients between the ages 2 and 16 years over a 3-year period at a single institution were evaluated. Patients were excluded if the CT was performed as part of a trauma evaluation or for a history of neuromuscular disease or spinopelvic instrumentation. A total of 821 CT were included. The width of pubic symphysis, right and left SI joints, and each limb of the triradiate cartilages was measured using the PACS digital measurement tool. Left and right measurements of the SI joints and triradiate cartilage were combined and reported together. RESULTS: From age 2 to 16 years, the average widths of the SI joint and pubic symphysis decreased from 3.11 to 1.80 mm and 5.55 to 3.69 mm, respectively. The average widths of the 3 limbs of the triradiate cartilage also slightly decreased from age 2 until closure: ilioischial, iliopubic, and ischiopubic cartilages decreasing from 3.72 to 2.74 mm, 4.42 to 3.52 mm, and 3.08 to 2.97 mm, respectively. CONCLUSIONS: This study demonstrates an age-dependent decrease in width of the pubic symphysis and left and right SI joints. By contrast, the widths of the triradiate cartilage remain relatively stable until closure. We believe that these age-based normative values will aid in future diagnosis of pathologic diastasis of these areas of the pediatric pelvis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1706
[Cu] Class update date: 170620
[Lr] Last revision date:170620
[St] Status:In-Process
[do] DOI:10.1097/BOT.0000000000000830

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[PMID]: 28632916
[Au] Autor:Sujana B; Keepanasseril A; Maurya DK
[Ad] Address:Department of Obstetrics & Gynecology, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India.
[Ti] Title:Diastasis of the pubic symphysis following vaginal delivery.
[So] Source:Int J Gynaecol Obstet;139(1):102-103, 2017 Oct.
[Is] ISSN:1879-3479
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1706
[Cu] Class update date: 170908
[Lr] Last revision date:170908
[St] Status:In-Data-Review
[do] DOI:10.1002/ijgo.12242

  10 / 236 MEDLINE  
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[PMID]: 28611968
[Au] Autor:Bombaci H
[Ad] Address:Department of Orthopaedics and Traumatology, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey.
[Ti] Title:Outcome of Internal Fixation and Corticocancellous Grafting of Symphysis Pubis Diastasis Which Developed after Malunion of Pubic Rami Fracture.
[So] Source:Hip Pelvis;29(2):150-153, 2017 Jun.
[Is] ISSN:2287-3260
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:We report a case of pubic symphysis diastasis, which was initially asymptomatic; however, it became symptomatic with urinary incontinence during pregnancy. The patient was treated with open reduction and internal fixation of the symphysis pubis. A corticocancellous autograft was used for filling the gap which remained despite bilateral compression of the iliac bones. We obtained satisfactory outcome in terms of symptoms at the 3 years' follow-up; however, there was instability findings in the X-rays with broken screws. We conclude that asymptomatic pubic symphysis diastasis might be symptomatic after additional trauma (such as pregnancy) in the following days, if it was unstable in the very beginning of injury. Fixation of old pubic symphysis diastasis with reconstruction plate by filling the gap by using corticocancellous autograft, might not prevent ultimate implant failure if the symphysis pubis diastasis is part of an unstable pelvic fracture in the very beginning.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1706
[Cu] Class update date: 170816
[Lr] Last revision date:170816
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.5371/hp.2017.29.2.150


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