Thus, the immobility of the pelvis provides a strong foundation for the upper body as it rests on top of the mobile lower limbs. Figure 8.4.1 8.4. 1: Pelvis The pelvic girdle is formed by a single hip bone. The hip bone attaches the lower limb to the axial skeleton through its articulation with the sacrum. The right and left hip bones, plus the ...Pubic ramus fracture was an injury of anterior pelvic ring, the anterior pelvic ring plays an important role in maintaining the stability of the pelvis. The purpose of this study was to investigate the effect and indication of percutaneous retrograde pubic screw fixation assisted by hollow pedicle finder for pubic ramus fractures. The clinical data of …Small SUVs are becoming increasingly popular due to their combination of size, power, and versatility. But when it comes to handling, not all small SUVs are created equal. Some mod...Detection of posterior pelvic injuries in fractures of the pubic rami. Injury 2012;43(8):1326–1329. Crossref, Medline, Google Scholar; 31. Starks I, Frost A, Wall P, Lim J. Is a fracture of the transverse process of L5 a predictor of pelvic fracture instability? J Bone Joint Surg Br 2011;93(7): 967–969. Crossref, Medline, Google Scholar; 32.Results: Sixty-three of the 93 patients with a fracture of the inferior ramus (68 %) were found to have a posterior ring injury; 60 % of these injuries were unstable. Patients with concurrent superior ramus fractures were more likely to have a posterior ring injury (p < 0.001) and an unstable pelvis (p = 0.018).RF 2T243J0–CT Scan of pelvic bone 3D rendering image showing superior pubic ramus fracture. ... left ischiopubic ramus; x 0.6. Table 3 ... rami. The bodypresents ...Superior pubic ramus fracture. Inferior pubic ramus fracture. Types of stable pelvic fractures: (Left) Iliac wing fracture. (Right) Sacrum fracture. Superior and inferior pubic ramus fracture.4. The pelvic ring injury – usually a lateral compression or vertical shear. These are the tricky ones because although you can see the pubic rami fractures on the AP pelvic view (often extending into the …Sprain of the superior tibiofibul joint and ligament, l knee. ICD-10-CM Diagnosis Code S32.502B [convert to ICD-9-CM] Unspecified fracture of left pubis, initial encounter for open fracture. Unsp fracture of left pubis, init encntr for open fracture; Left pubic bone fracture; Open fracture of left pubis.An isolated inferior pubic ramus fracture is regarded as a stable injury and has much better functional outcome as compared to superior pubic rami fractures . This assumption of a “stable injury” in our case led to the patient being actively mobilised with early discharge home following adequate pain control.1. Introduction. Young and Burgess lateral compression type I (LC-1) fractures account for up to 63% of all pelvic ring injuries, but optimal treatment remains controversial [1–6].This fracture pattern is usually caused by a lateral impact force and is characterized by pubic ramus fractures and sacral compression fractures without vertical …Sunnyland Farms is renowned for its superior quality pecans that have delighted customers for generations. Sunnyland Farms has been in the business of growing and harvesting pecans...It projects superiorly to join the ilium and the superior ramus of the pubis, and contributes to the acetabulum. Ramus. The ramus of the ischium, extends anteromedially from the inferior aspect of the body to join the inferior pubic ramus. Together, these bony rami form the ischiopubic ramus which is the inferior border of the obturator foramen. The inferior pubic ramus (inferior ramus of pubis) is the inferiorly located, flat bony bar that projects from the inferolateral aspect of the body of pubis. It is one of the two rami of the pubis, the other being the superior pubic ramus. From the body, it extends in a posteroinferior and lateral direction to fuse with the ischial ramus ... A pelvic fracture is a break of the bony structure of the pelvis. This includes any break of the sacrum, hip bones (ischium, pubis, ilium), or tailbone. Symptoms include pain, particularly with movement. Complications may include internal bleeding, injury to the bladder, or vaginal trauma.. Common causes include falls, motor vehicle collisions, a …A radiolucency in the superior pubic ra mus was found incidentally in three infants, prompting further evaluation. The infant in case 8 underwent imaging of the chest and abdomen for evaluation of a cough. A radio lucency in the left superior pubic ramus with marginal sclerosis was identified. A normal.General pubic rami fracture account for 2-thirds and acetabular fractures account for 11% to 19% of osteoporotic pelvic fractures. 1 These fractures appear as lateral compression fractures after direct impinge on the injured side; according to the AO/ASIF classification system, they are characterized as stable type A2 fractures or B2 as internal …Occult fractures were most frequently found in the superior pubic ramus, accounting for 10 out of 22 hips (45.4%) (Figs. 2 and 3). Fractures of the inferior pubic …Short description: Oth fracture of left pubis, init encntr for closed fracture The 2024 edition of ICD-10-CM S32.592A became effective on October 1, 2023. This is the American ICD-10-CM version of S32.592A - other international versions of ICD-10 S32.592A may differ.Fig 1.1-4 AP x-ray of the pelvis of a 21-year-old woman who had previously lost a portion of the superoinferior pubic rami in an open fracture of the pelvic ring at 12 years old. The superior ramus fracture entered the right acetabulum. ... at its superior origin, it gives attachment to the gluteus maximus. The sacrotuberous ligament forms a ...Your pubic symphysis joint sits at the bottom of your pelvis, where your left pelvic bone connects with your right pelvic bone. The joint is wider in the front than it is in the back by about 3 to 5 millimeters. It’s in front of your bladder and above both the clitoris and the penis.Pelvic Injuries. Dr. Steven S. Louis is an integral part of the Hinsdale Orthopaedics team since 1997. Dr. Louis’ exceptional surgical skills are complemented by a personable style and dedication to the highest quality patient outcomes and satisfaction. He is a board certified orthopaedic surgeon and is fellowship trained in the area of trauma.We would like to show you a description here but the site won’t allow us.Your pubic symphysis joint sits at the bottom of your pelvis, where your left pelvic bone connects with your right pelvic bone. The joint is wider in the front than it is in the back by about 3 to 5 millimeters. It’s in front of your bladder and above both the clitoris and the penis.Pubic rami fractures are common. They are associated with significant morbidity and mortality. These fractures are usually classified as stable injuries and traditionally receive limited orthopaedic input. Management typically involves hospital admission and early input from physiotherapists and occupational therapists. Early …... pelvic fracture with an associated left superior pubic ramus fracture. The ... superior/inferior pubic rami fractures had a concomitant posterior pelvic ring ...For transverse-type superior pubic rami fractures, anterior fixation only and combined anterior and posterior fixation configurations on average reduced deflection nearly the same amount, 0.83 and 0.84 mm, respectively, when looking at the difference in the mean values compared with no fixation. ... Static x-ray of the pelvis demonstrating left ...Overall, 53% of patients who received further imaging were diagnosed with a combined fracture of the public ramus and sacrum, and 9% (n=1) with a combined fracture of the pubic ramus and the ilium. Furthermore, 23 patients had acute pelvic fragility fractures identified on CT or MRI, in the presence of normal X-rays. L: undisplaced superior ramus # R (Torode & Zeig III) R: displaced R and L inferior and superior rami# (Torode&Zeig III) Torode & Zeig IV. Fracture near left SI joint and fracture through left superior and inferior pubic rami Torode IV injury with pubic diastasis and SI joint disruption Mature Pelvis: Lateral Compression type The most common sites of POFs include the pubic rami, sacrum, ilium, and acetabulum. Combined pubic rami (PROFs) and sacral osteoporotic fractures (SOFs) have been reported, mostly in retrospective studies, describing the mechanism of injury and incidence. The aim of this study was to evaluate the association between PROFs and SOFs and to ...The pubis consists of a body and two rami (superior and inferior). Located on the anterior aspect of the pubic body is a bony thickening called the pubic crest. The lateral aspect of this crest is the …The pubic rami are a group of bones that make up part of the pelvis. A pubic ramus fracture is a break in one of these bones. These fractures do not need an operation and …Overall, 53% of patients who received further imaging were diagnosed with a combined fracture of the public ramus and sacrum, and 9% (n=1) with a combined fracture of the pubic ramus and the ilium. Furthermore, 23 patients had acute pelvic fragility fractures identified on CT or MRI, in the presence of normal X-rays.Pubic rami fractures without posterior ring involvement or with incomplete sacral fractures, conversely, are usually part of a stable pelvic ring injury pattern that is amenable to non-surgical management and weight-bearing as tolerated or a short course of protected weight-bearing and close follow-up. 5, 18 These injuries can be safely …The left and right hip bones (innominate bones, pelvic bones) are two irregularly shaped bones that form part of the pelvic girdle – the bony structure that attaches the axial skeleton to the lower limbs. …The pelvic girdle is a common location for up to 15% of primary malignant bone tumors and ranks third among bone metastasis sites (Singh et al., 2016).After resection of peri-acetabular lesions ... The inferior pubic ramus projects inferiorly and laterally. The pubic arch is formed by the pubic symphysis, the bodies of the adjacent pubic bones, and the two inferior pubic rami. The inferior pubic ramus joins the ischial ramus to form the ischiopubic ramus. The subpubic angle is formed by the medial convergence of the right and left ... May 12, 2014 ... ... left superior pubic ramus bone. (b) Anteroposterior pelvic radiograph demonstrating the lesion after thorough curettage and chip bone ...General pubic rami fracture account for 2-thirds and acetabular fractures account for 11% to 19% of osteoporotic pelvic fractures. 1 These fractures appear as lateral compression fractures after direct impinge on the injured side; according to the AO/ASIF classification system, they are characterized as stable type A2 fractures or B2 as internal …Objective: The purpose of this study is to present the early complications of percutaneous screw fixation of superior pubic ramus fractures and to present a new classification scheme for superior pubic ramus fractures. Design: Retrospective. Setting: Level 1 trauma center. Patients: One hundred and twelve patients with pelvic fracture between the ages of 14 to …Acetabular Fractures. An acetabular fracture is a break in the socket portion of the "ball-and-socket" hip joint. These hip socket fractures are not common — they occur much less frequently than fractures of the upper femur or femoral head (the "ball" portion of the joint). The majority of acetabular fractures are caused by some type of high ...The pubic rami are a group of bones that make up part of the pelvis. A pubic ramus fracture is a break in one of these bones. These fractures do not need an operation and will heal with time, analgesia and therapy. They often take about 6-8 weeks to heal. You can fully weight bear as pain allows and there are no limitations toPelvic Fractures. Pelvic fractures can involve the pubic symphysis, innominate bones, acetabulum, sacroiliac joint or sacrum. They range from minimally displaced stable injuries caused by low energy falls to dramatically displaced and unstable injures that can cause massive hemorrhage. Genitourinary, intestinal, and neurologic injuries may also ...Introduction. Fractures of the pubic rami due to low energy trauma are common in the elderly, with an incidence of 26 per 100,000 people per year in those aged more than 60 years [1, 2].Pubic ramus fractures combined with a sacroiliac joint complex injury is a pelvic fracture, its incidence is increasing due to the development of …Pelvic radiograph shows lateral compression injuries. A laterally directed force causes inward rotation of the left hemipelvis with left superior and inferior pubic rami fractures (white arrows). Posteriorly, an impaction fracture of the ipsilateral sacral ala can be seen, with disruption of the sacral arcuate lines (black arrows). Fractures of the superior pubic ramus (SPR) are generally the result of a direct blow, often in elderly patients, and are the result of minimal traumatic force. 1, 2, 3 Current literature continues to describe this injury as a pelvic fracture. Traditional teaching is that this fracture, when encountered without a concomitant posterior pelvic ... Clinical example of a right-sided retrograde superior pubic medullary screw skin incision is identified by the contralateral left-sided anterior pubic skin staples. a–f For antegrade superior pubic ramus medullary screw fixation, a thin-diameter wire is used first to identify the optimal insertion site on the inlet (a) and combination ... L: undisplaced superior ramus # R (Torode & Zeig III) R: displaced R and L inferior and superior rami# (Torode&Zeig III) Torode & Zeig IV. Fracture near left SI joint and fracture through left superior and inferior pubic rami Torode IV injury with pubic diastasis and SI joint disruption Mature Pelvis: Lateral Compression type We present a case of an elderly man who sustained non-displaced fractures through the right superior and inferior pubic rami after a fall from standing and had a tragic outcome. While minimally displaced pubic ramus fractures are typically stable and require only symptomatic treatment, there have been reports, such as this one, of low-energy ...RF 2T243J0–CT Scan of pelvic bone 3D rendering image showing superior pubic ramus fracture. ... left ischiopubic ramus; x 0.6. Table 3 ... rami. The bodypresents ...It projects superiorly to join the ilium and the superior ramus of the pubis, and contributes to the acetabulum. Ramus. The ramus of the ischium, extends anteromedially from the inferior aspect of the body to join the inferior pubic ramus. Together, these bony rami form the ischiopubic ramus which is the inferior border of the obturator foramen.Superior pubic ramus fracture. Inferior pubic ramus fracture. Types of stable pelvic fractures: (Left) Iliac wing fracture. (Right) Sacrum fracture. Superior and inferior pubic ramus fracture.Oct 30, 2023 · The hip bone is formed from the fusion of three separate bones, the ilium, ischium, and pubis. The pubis is the smallest of these three bones. It is located at the anteroinferior aspect of the pelvis. The pubis consists of a body and two rami (superior and inferior). Located on the anterior aspect of the pubic body is a bony thickening called ... Laterally, the superior pubic rami pass into the anterior columns of the acetabula, and the inferior pubic rami act as a bridge between the pubic and the ischial bones. Functionally, the pelvic ring serves as a border for the intrapelvic organs on one hand and is the insertion point of the gluteal hamstrings, the abdominal muscles and the ...In the anterior approach, a longitudinal incision was performed along the pubic ramus from the lateral side of the pubic tubercle. The ramus was reached with the femoral artery-vein package remaining lateral, the inguinal ligament remaining inferior, the bladder remaining superior, and the pubic tubercle medial (Figure 3a, b).The pubis consists of a body and two rami (superior and inferior). Located on the anterior aspect of the pubic body is a bony thickening called the pubic crest. The lateral aspect of this crest is the …The most common sites of POFs include the pubic rami, sacrum, ilium, and acetabulum. Combined pubic rami (PROFs) and sacral osteoporotic fractures (SOFs) have been reported, mostly in retrospective studies, describing the mechanism of injury and incidence. The aim of this study was to evaluate the association between PROFs and …Fig 1.1-4 AP x-ray of the pelvis of a 21-year-old woman who had previously lost a portion of the superoinferior pubic rami in an open fracture of the pelvic ring at 12 years old. The superior ramus fracture entered the right acetabulum. ... at its superior origin, it gives attachment to the gluteus maximus. The sacrotuberous ligament forms a ...Overall, 53% of patients who received further imaging were diagnosed with a combined fracture of the public ramus and sacrum, and 9% (n=1) with a combined fracture of the pubic ramus and the ilium. Furthermore, 23 patients had acute pelvic fragility fractures identified on CT or MRI, in the presence of normal X-rays.Pubic rami fragility fractures are a significant problem in older people and often require admission to hospital. Further imaging confirms that these fractures are complex, with co …The hip bone is formed from the fusion of three separate bones, the ilium, ischium, and pubis. The pubis is the smallest of these three bones. It is located at the anteroinferior aspect of the pelvis. The pubis consists of a body and two rami (superior and inferior). Located on the anterior aspect of the pubic body is a bony thickening called ...r study was to determine the effect of superior pubic ramus fracture morphology and fixation construct on pelvic stability. Methods: Ten fresh-frozen cadaveric were transected into hemi-pelvises. Incomplete Denis type 1 sacral fractures were made. Hemi-pelvises were randomized to receive a transverse-type or oblique-type superior pubic ramus fracture with the contralateral hemi-pelvis ... The inferior pubic ramus (inferior ramus of pubis) is the inferiorly located, flat bony bar that projects from the inferolateral aspect of the body of pubis. It is one of the two rami of the pubis, the other being the superior pubic ramus. From the body, it extends in a posteroinferior and lateral direction to fuse with the ischial ramus ... Figure 7.4.1 7.4. 1: Pelvis. The pelvic girdle is formed by a single hip bone. The hip bone attaches the lower limb to the axial skeleton through its articulation with the sacrum. The right and left hip bones, plus the sacrum and the …Code first any associated spinal cord and spinal nerve injury ( S34 .-) S32.512 Fracture of superior rim of left pubis. S32.512A. Fracture of superior rim of left pubis, initial encounter for closed fracture. S32.512B. Fracture of superior rim of left pubis, initial encounter for open fracture. S32.512D.The superior pubic ramus is the segment of bone that passes laterally from the pubic body to join the ilium. ... and the bodies and inferior pubic rami of the adjacent pubic bones. The inferior pubic ramus extends downward to join the ischial ramus. ... the right and left hip bones, the sacrum, and the coccyx (see Figure 1). The pelvis has ...According to CPT guidelines, an appropriate evaluation and management (E/M) service code should be used in place of 27197 and 27198 for closed treatment of anterior (vs. posterior) pelvic ring fracture and dislocation(s) of the pubic symphysis and superior/inferior rami (unilateral or bilateral).Introduction Fractures of the pubic rami are typically classified as stable injuries. The current treatment strategies involve pain management and mobilization. However, pain-dependent immobilization may pose a serious hazard to patients with severe preexisting co-morbidities. There is paucity of literature on the outcome and mortality of …Pubic Ramus Fractures. In children, the most common osseous fracture of pelvic ring occurring in almost 50% cases is a ramus fracture, with most being one-sided and mainly including the superior pubic ramus. These are specifically the majority of childhood injuries. Though, avulsion fractures are not generally included statistically, …Ischiopubic synchondrosis asymmetry (van Neck-Odelberg disease) is the characteristic enlargement of one of the ischiopubic synchondroses. It is largely considered an anatomic variant of skeletal development, given that it is a common and usually asymptomatic finding. However, some cases are thought to be symptomatic and may …In this tutorial we take you through the anatomy of the pelvis using our 3D anatomy model and discuss the features and management approach of stable and unst...An isolated inferior pubic ramus fracture is regarded as a stable injury and has much better functional outcome as compared to superior pubic rami fractures . This assumption of a “stable injury” in our case led to the patient being actively mobilised with early discharge home following adequate pain control.Fracture of inferior pubic ramus; Fracture of inferior pubic ramus; Fracture of multiple pubic rami; Fracture of multiple pubic rami; Fracture of pelvic ring with complete disruption of posterior arch; Fracture of pelvic ring with incomplete disruption of posterior arch; Fracture of superior pubic ramus; Fracture of superior pubic ramusThe inferior pubic ramus (plural: inferior pubic rami) is part of the pubis.It forms the border of the urogenital region of the pelvic outlet, running between the pubic tubercle and ischial tuberosity. Medial to the inferior pubic ramus lies the crus of the clitoris in females or penis in males. Superomedially lies levator ani muscle and directly …Fractures (Normal) In the studies of pediatric pelvic fractures 18% of pediatric pelvic fractures consisted of fractures of the ipsilateral superior as well as inferior pubic rami. Even though these fractures are normally stable, they may be related to injuries of the abdominal viscera, specifically to the genitourinary system like bladder rupture.The initial AP pelvis image is shown left. The pelvis is rotated LOP. There was evidence of right sided pubic rami fractures. The radiographer considered a repeat view worthwhile with correction of the pelvic rotation. ... The caudal angle pubic rami view image demonstrates the displacement of the superior pubic rami fracture particularly well ...When it comes to replacing engines, Briggs replacement engines are the superior choice for both residential and commercial applications. With a long-standing reputation for excelle...Neoprene work gloves are becoming increasingly popular among workers in various industries due to their superior protection and comfort. This synthetic rubber material offers a wid...Among fractures, Pelvic Fracture (PF) is quite rare (3-8% of total), but have high mortality rate (5 to 40 %). 1,2 A severe PF necessitates of comprehensive rehabilitation with recovery periods affected by associated injuries, e.g. nerves lesions or urinary and intestinal dysfunctions. Effective treatments and proper monitoring of complications are …Superior pubic ramus fracture. Inferior pubic ramus fracture. Types of stable pelvic fractures: (Left) Iliac wing fracture. (Right) Sacrum fracture. Superior and inferior pubic ramus fracture.One hundred and twelve patients with pelvic fracture between the ages of 14 to 89 years underwent percutaneous screw fixation of 145 pubic ramus fractures. Eighty-one patients with 107 surgically repaired fractures were followed to fracture union. Follow-up averaged 9 months (range 2-52 months). One additional patient who sustained fixation ...The inferior pubic ramus (inferior ramus of pubis) is the inferiorly located, flat bony bar that projects from the inferolateral aspect of the body of pubis. It is one of the two rami of the pubis, the other being the superior pubic ramus. From the body, it extends in a posteroinferior and lateral direction to fuse with the ischial ramus ...Apr 13, 2024 · The pubic bone has an anteromedial body, a superior ramus passing upwards to the acetabulum and an inferior ramus bordering the obturator foramen which joins the ischial ramus (conjoined ramus or the ischiopubic ramus). The body of pubis is flattened and has an anterior, posterior, and symphyseal surface. The superior pubic ramus is triangular ... In the anterior approach, a longitudinal incision was performed along the pubic ramus from the lateral side of the pubic tubercle. The ramus was reached with the femoral artery-vein package remaining lateral, the inguinal ligament remaining inferior, the bladder remaining superior, and the pubic tubercle medial (Figure 3a, b).The pelvis is composed of the anterior ring of the pubic and ischial rami connected with the symphysis pubis. A fibrocartilagenous disc separates the two pubic bodies. ... Clinical example of a right-sided retrograde superior pubic medullary screw skin incision is identified by the contralateral left-sided anterior pubic skin staples. a–f For ...Displacement of pubic ramus fractures may cause impingement or laceration of the bladder, vagina, and perineum, and for these reasons, operative management may be considered. Operative treatment of pubic rami fractures is indicated to provide additional pelvic ring stability in association with posterior pelvic ring fixation.
Types of pelvic fractures 1-Anteroposterior compression (pubic rami fracture) 2-Anteroposterior compression (open book pelvis) Treatment: •“close the book”: pelvic binder and sling. •Surgery if symphasis pubic diastasis is more than 2.5 cm. •Anterior pelvic surgery such as external fixator or plates. 3-Lateral compression. Obs mic settings
One hundred and twelve patients with pelvic fracture between the ages of 14 to 89 years underwent percutaneous screw fixation of 145 pubic ramus fractures. Eighty-one patients with 107 surgically repaired fractures were followed to fracture union. Follow-up averaged 9 months (range 2-52 months). One additional patient who sustained fixation ...Short description: Fracture of superior rim of right pubis, init for clos fx The 2024 edition of ICD-10-CM S32.511A became effective on October 1, 2023. This is the American ICD-10-CM version of S32.511A - other international versions of ICD-10 S32.511A may differ.The left and right hip bones (innominate bones, pelvic bones) are two irregularly shaped bones that form part of the pelvic girdle – the bony structure that attaches the axial skeleton to the lower limbs. The hip bones have three main articulations: Sacroiliac joint – articulation with the sacrum. Pubic symphysis – articulation between ...Physiotherapy assessment will often find pain on certain tests and tenderness on palpation of the inferior pubic rami. Bone scan, CT and MRI may be used to identify stress fractures and bony oedema. Inferior pubic stress fractures need 6-12 weeks rest, with the latter 6 weeks involving a gradual return to loading/running program.ICD-10-CM S32.509A is grouped within Diagnostic Related Group(s) (MS-DRG v 41.0):. 535 Fractures of hip and pelvis with mcc; 536 Fractures of hip and pelvis without mcc; 963 Other multiple significant trauma with mcc; 964 Other multiple significant trauma with cc; 965 Other multiple significant trauma without cc/mcc; Convert S32.509A to ICD-9-CM. Code …Codes 27193 and 27914 were deleted for 2017, and replaced by two new codes: 27197 Closed treatment of posterior pelvic ring fracture (s), dislocation (s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture (s) and/or dislocation (s) of the pubic symphysis and/or superior ...Fracture of inferior pubic ramus; Fracture of inferior pubic ramus; Fracture of multiple pubic rami; Fracture of multiple pubic rami; Fracture of pelvic ring with complete disruption of posterior arch; Fracture of pelvic ring with incomplete disruption of posterior arch; Fracture of superior pubic ramus; Fracture of superior pubic ramusPlasmacytoma. A 68-year-old male with plasmacytoma. Radiographs (a) of the pelvis showing expansion of the left obturator foramen and an expansile osteolytic lesion involving the superior pubic ramus (asterisk). Axial CT (b) depicts the large lytic mass expanding the superior pubic rami (asterisk).Pelvic ring fractures are high energy fractures of the pelvic ring which typically occur due to blunt trauma. Diagnosis is made radiographically with pelvic radiographs and further …FIGURE 1. Anterior-posterior radiograph of the pelvis, demonstrating fractures through the superior and inferior pubic rami on the left (orange arrows), as well as a fracture involving the superior ramus on the right (white arrow). These fractures were present on a radiographic examination from 2 months prior.INTRODUCTION. The pubic symphysis is a non-synovial joint that connects the right and left superior pubic rami with a normal radiographic separation width of 4 to 5 mm. Due to hormone-related changes and physiological alterations observed during pregnancy, the gap can increase by 2-3 mm and remain after delivery, such a separation ….
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