Possible Causes for widened pubic symphysis Diastasis Symphysis Pubis On examination, widening of the pubic symphysis is found to be MORE THAN the normal range for pregnancy of approximately 9mm. [bumpmoves.com.au] Radiology (non-pregnant patients) XRay (changes often seen in asymptomatic athletes) Widened pubic symphysis Irregular articular surface Periarticular sclerosis Isotope bone [fpnotebook.com] Imaging (non-pregnant patients) XRay (changes often seen in asymptomatic athletes) Widened pubic symphysis Irregular articular surface Periarticular sclerosis Isotope bone [fpnotebook.com] Osteitis Pubis Imaging (non-pregnant patients) XRay (changes often seen in asymptomatic athletes) Widened pubic symphysis Irregular articular surface Periarticular sclerosis Isotope bone [fpnotebook.com] Radiology (non-pregnant patients) XRay (changes often seen in asymptomatic athletes) Widened pubic symphysis Irregular articular surface Periarticular sclerosis Isotope bone [fpnotebook.com] The early radiographic signs of the disease were rarefaction of the adjacent pubic bones and widening of the symphysis pubis. [ncbi.nlm.nih.gov] Musculoskeletal Lower Back Pain In order to prepare for delivery of the fetus, there is a widening and increased mobility of the sacroiliac joints and pubic symphysis. 5 There is a significant increase in [practicalpainmanagement.com] Cleidocranial Dysplasia AP view of pelvis demonstrated a widened pubic symphysis and triradiate cartilage [Figure 5] b. [jnsbm.org] symphysis, failure of ossification of the ilium, a widened pubic symphysis and complete or incomplete absence of the sacrum or coccyx. [scielo.org.za] pubic symphysis as was seen in this case is due to delayed ossification. [omjournal.org] Parietal Foramina with Cleidocranial Dysplasia AP view of pelvis demonstrated a widened pubic symphysis and triradiate cartilage [Figure 5] b. [jnsbm.org] Hypoplastic scapulae Pelvis Delayed ossification of the pubic bone with wide pubic symphysis Hypoplasia of the iliac wings Widening of the sacroiliac joints Elongated femoral [ncbi.nlm.nih.gov] pubic symphysis and triradiate cartilage Click here to view Figure 6: AP and lateral skull radiographs showing patent fontanelles and multiple wormian bones Click here to [jnsbm.org] Diaphragmatic Hernia Patient Data Age: 30 Gender: Female Widening of the pubic symphysis indicative of diastasis. [radiopaedia.org] Posteroanterior radiograph of the pelvis of 22-year-old female shows abnormal widening of the pubic symphysis (arrow), measuring 15 mm in maximum transverse diameter. [ncbi.nlm.nih.gov] Posteroanterior radiograph of the pelvis shows symphysis pubis diastasis (arrow). Sacroiliac joint shows no fracture or widening. [ncbi.nlm.nih.gov] Osteitis Osteitis Pubis Xray / Diagnositc Tests Plain films of the pelvis may demonstrate sclerosis, lysis and widening of the pubic symphysis MRI: inflammatory signal changes in the [eorif.com] (A) Pelvis radiograph performed 4 months after surgery showing widening, rarefaction, irregularity and osteolytic and sclerotic changes of pubic symphysis. [academic.oup.com] (B) Pelvis radiograph performed 1 yr later, showing sclerotic reaction of pubic symphysis. F ig . 2. [academic.oup.com] Coxa Vara symphysis, failure of ossification of the ilium, a widened pubic symphysis and complete or incomplete absence of the sacrum or coccyx. [scielo.org.za] The pubic symphysis was widened (Figure 3) and the chest radiograph revealed bilateral partial absence of the medial aspects of both clavicles (Figure 4). [scielo.org.za] […] both previously described in association with CCD, may contribute further to its development.6 Pelvis3,7 Pelvic anomalies include failure or delayed ossification of the pubic [scielo.org.za] Pelvic Organ Prolapse Examination revealed 5-cm pubic symphysis widening and stage III pelvic organ prolapse with deficient perineal body. [ncbi.nlm.nih.gov] Disseminated Intravascular Coagulation Patient Data Age: 30 Gender: Female Widening of the pubic symphysis indicative of diastasis. [radiopaedia.org] Posteroanterior radiograph of the pelvis of 22-year-old female shows abnormal widening of the pubic symphysis (arrow), measuring 15 mm in maximum transverse diameter. [ncbi.nlm.nih.gov] Posteroanterior radiograph of the pelvis shows symphysis pubis diastasis (arrow). Sacroiliac joint shows no fracture or widening. [ncbi.nlm.nih.gov] Joint Subluxation […] bones at the pubic symphysis - a ligamentous joint Careful observation also shows widening of the right sacroiliac joint The entire right pelvic bone is disconnected « Previous [radiologymasterclass.co.uk] Hover on/off image to show/hide findings Tap on/off image to show/hide findings Click image to align with top of page Diastasis example - Pelvis There is separation of the pubic [radiologymasterclass.co.uk] Bladder Exstrophy Failure of the pubic bones to meet in the midline (widened pubic symphysis ). [radiopaedia.org] Spectrum of anomalies The typical manifestation of exstrophy-epispadias complex is bladder everted through a midline lower abdominal wall defect widening of the pubic symphysis [wikidoc.org] The anterior abdominal wall defect involves the entire urethra and bladder neck [4] .The pubic symphysis is always widened [3] with diastasis of rectus abdominis. [ijri.org] Pelvic Fracture […] ramus fracture, iliac wing fracture, pubic stasis diastasis Tile B — Rotationally unstable, vertically stable B1: pubic symphysis diastasis 2.5 cm and widening of the sacroiliac [lifeinthefastlane.com] Grade II Diastasis of pubic symphysis with associated anterior sacroiliac joint widening with intact posterior sacroiliac joint ligaments. [emedicine.com] On exam, the lower extremities are externally rotated and the pubic symphysis is widened and unstable. Intravenous access is obtained and radiographs are pending. [orthobullets.com] Colitis Cystica Profunda Congenital widening of the pubic symphysis: associated clinical disorders and roentgen anatomy of affected bony pelves. Amcr. J. Roentgen., 103: 179-I85, 1968. Rowe, M. [slideheaven.com] Joint Dislocation […] bones at the pubic symphysis - a ligamentous joint Careful observation also shows widening of the right sacroiliac joint The entire right pelvic bone is disconnected « Previous [radiologymasterclass.co.uk] Hover on/off image to show/hide findings Tap on/off image to show/hide findings Click image to align with top of page Diastasis example - Pelvis There is separation of the pubic [radiologymasterclass.co.uk] Bladder Contracture Associated anomalies Epispadias Bifid clitoris Undescended testis Widening of pubic symphysis Cloacal extrophy Inguinal hernia Ureteral reflux Treatment Options: Diversion [gradestack.com] In both sexes there is separation of pubic symphysis. The exposed mucous memb. may undergo metaplastic changes, with development of Adenocarcinoma. [gradestack.com] Dyggve-Melchior-Clausen Syndrome Small iliac wings, bilateral hip dislocation, a widened pubic symphysis, acetabular hypoplasia, a wide sacroiliac joint and deformed femoral heads are other prominent findings [symptoma.com] The ischiopubic synchondrosis is much wider than normal and the pubic nami as well as the symphysis pubis are also widened (fig. 6A). [healthdocbox.com] […] superior and inferior pubic ramus Wide symphysis pubis There is generalized platyspondyly (fig. 3). [healthdocbox.com] Lumbosacral Instability […] s influence, the ligaments that hold the sacoliac joints and the pubic symphysis in place soften and stretch. [chappellhealth.com] The articulations between these joints widen and become more moveable, accentuating the movements described above. [chappellhealth.com] Mucopolysaccharidosis Also characteristic are a long pelvis with narrowing at the acetabulae, pubic symphysis widening and flaring of the ilia. [sajr.org.za] Characteristic findings included hypoplasia of odontoid peg, universal platyspondyly gibbus, and kyphosis of the dorsal region with widening of disc spaces. [sajr.org.za] Pseudoachondroplasia pubic symphysis, kyphoscoliosis and a normal radiography of the skull are notable features on X-ray. [symptoma.com] […] segments of long bones (the humerus and femur are predominantly affected), flared and irregular metaphyses, flattened femoral heads, incomplete formation of the acetabulum, a widened [symptoma.com] Primary Hyperparathyroidism Abdominal radiographs showed multiple calcific opacities overlying the renal outlines bilaterally, significant widening of the pubic symphysis and sacroiliac joints, and a [pubs.rsna.org] Hip Dislocation […] of the pubic symphysis (red arrow), in keeping with an anterior-posterior compression pelvic injury. [pubs.rsna.org] […] pelvic radiograph in a 29-year-old woman who fell from a first-floor window shows an anterior inferior (obturator) dislocation of the left hip (yellow arrow) and marked widening [pubs.rsna.org] Urinary Tract Injury symphysis widening and inferior pubic fractures [ 12 ] our findings are consistent with previous studies undertaken and an association between symphysis widening and anterior [omicsonline.org] Previous studies suggest that bladder injuries are more prevalent in patients with pubic symphysis widening and ilio-sacral joint involvement, and urethral injuries with pubic [omicsonline.org] Congenital Bilateral Megacalycosis pubic symphysis complications include ureteral reflux, cystitis glandularis, bladder CA cancer 200x more common, usually adenocarcinoma treat with primary closure, bladder [quizlet.com] Usually associated with widening of the pubic symphysis. [posterng.netkey.at] […] exstrophy 1/30,000 persistent cloacal membrane separates mesoblast rectus muscles separate lower abdominal wall and anterior wall of bladder are absent ilia rotate outward widened [quizlet.com] Spondylometaphyseal Dysplasia Type East African Overview Spondylometaphyseal dysplasia, east-African type: A rare, early-onset skeletal disorder involving abnormal bone development. The spine is mildly affected and the hands are spared but the growing ends of long bones are deformed (bracket-shaped) which affects bone growth. Symptoms - Spondylometaphyseal[…] [checkorphan.org] Hemorrhage […] compression 1 Symphyseal diastasis (1-2 cm) Slight widening of symphysis and/or sacroiliac (SI) joint, stretched but intact anterior and posterior SI joint ligaments Anterior-posterior [east.org] […] compression 2 Symphyseal diastasis or vertical pubic rami fracture Widened SI joint, disrupted anterior SI ligaments with intact posterior SI ligaments Anterior-posterior [east.org] Characteristic Differentiating Characteristic Lateral Compression 1 Transverse pubic rami fracture Sacral Compression on side of impact Lateral Compression 2 Transverse pubic [east.org] Adductor Strain Plain radiographs may show widening of the pubic symphysis, irregular contour of articular surfaces or periarticular sclerosis. [aafp.org] […] tenderness over the pubic symphysis is usually present, and lack of such tenderness usually excludes the diagnosis. 3 Pain can often be provoked by active adduction if the distal symphysis [aafp.org] Rectal Trauma Discussion Aihara et al.( 2 ) reported that widening of the pubic symphysis is a sensitive indicator of rectal injury and lower urinary tract injury. [jtraumainj.org] Mucopolysaccharidosis Type 4A Also characteristic are a long pelvis with narrowing at the acetabulae, pubic symphysis widening, and flaring of the ilia. [cjhr.org] Characteristic findings included hypoplasia of odontoid peg, universal platyspondyly, gibbus and kyphosis of the dorsal region with widening of disk spaces. [cjhr.org] Mucopolysaccharidosis Type 1 Also characteristic are a long pelvis with narrowing at the acetabulae, pubic symphysis widening and flaring of the ilia. [sajr.org.za] Characteristic findings included hypoplasia of odontoid peg, universal platyspondyly gibbus, and kyphosis of the dorsal region with widening of disc spaces. [sajr.org.za]
