恥骨結合離解
WordNet
- relating or near the pubis; "pubic bones"; "pubic hair"
- a growing together of parts or structures
- an abnormal adhesion of two or more structures
- separation of an epiphysis from the long bone to which it is normally attached without fracture of the bone
PrepTutorEJDIC
- 恥丘の,恥骨の
- パブ(public house)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/12/13 22:57:25」(JST)
[Wiki en表示]
| Diastasis symphysis pubis |
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Post traumatic diastasis of symphysis pubis
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| Classification and external resources |
| MeSH |
D046548 |
Diastasis symphysis pubis is the separation of normally joined pubic bones, as in the dislocation of the bones, without a fracture.
Contents
- 1 Diagnosis
- 2 X-ray
- 3 CT scan and MRI
- 4 Bone Scan
- 5 External forces
- 6 Other conditions
- 7 References
- 8 External links
Diagnosis
This abnormally wide gap can be diagnosed by radiologic studies such as x-ray, MRI, CT scan or bone scan. Manual testing by a healthcare professional can also be used. The patient is placed in various positions and pressure is applied in such a way that it provokes pain and maybe movement in the pubis.
X-ray
An X-ray film will show a marked gap between the pubic bones, normally there is a 4–5 mm gap but in pregnancy, hormonal influences cause relaxation of the connecting ligaments and the bones separate up to 9 mm. To demonstrate instability of the joint the patient is required to stand in the "flamingo" position, (standing with weight on one leg and the other bent).[1] A vertical displacement of more than 1 cm is an indicator of symphysis pubis instability.[2] A displacement of more than 2 cm usually indicates involvement of the sacroiliac joints.
CT scan and MRI
Both diagnostic machines can produce detailed cross sections of the pelvic area. Images will show degrees soft tissue injury, inflammation of the subchondral region and the bone marrow [3] and any abnormal posturing of the pelvic joints.
Bone Scan
A bone scan is able to determine areas of bone inflammation.
External forces
External forces such as falling from a horse or a car accident can result in this type of injury to the symphysis pubis.
In former times obstructed childbirth was sometimes treated by cutting the pubic symphysis (symphysiotomy), letting the pelvis halves hinge outwards at the sacroiliac joints.
Other conditions
- In bladder extrophy[4] there is a gap between the pubis, which are joined by a strong interpubic ligament.
References
- ^ An Analysis of Pubis Symphysis Misalignment Using Plain Film Radiography Ruch WJ, Ruch BM. J Manipulative Physiol Ther. 2005;28(5):330-335
- ^ Vertically Unstable Pelvic Fractures Fixed with Percutaneous Iliosacral Screws: Does Posterior Injury Predict Fixation Failure? Damian R. Griffin, MA, FRCS (Orth); Adam J. Starr, MD; Charles M. Reinert , MD; Alan L. Jones, MD; Shelly Whitlock, CCRA; University of Texas Southwestern Medical Center, Dallas, TX
- ^ Magnetic resonance imaging changes of sacroiliac joints in patients with recent-onset inflammatory back pain: inter-reader reliability and prevalence of abnormalities. Arthritis Research & Therapy 2006, 8:R11 doi:10.1186/ar1859. Liesbeth Heuft-Dorenbosch1, René Weijers, Robert Landewé1, Sjef van der Linden1, Désirée van der Heijde1
- ^ http://www.bartleby.com/107/255.html (end of page)
External links
- Diastasis Symphysis Pubis Support Forum
- Pelvic Instability Network Support (PINS)
- Pictures and explanation at e-radiography.net
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Pathology of pregnancy, childbirth and the puerperium (O, 630–679)
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| Pregnancy |
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Pregnancy with
abortive outcome
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- Ectopic pregnancy
- Abdominal pregnancy
- Cervical pregnancy
- Interstitial pregnancy
- Ovarian pregnancy
- Molar pregnancy
- Miscarriage
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Oedema, proteinuria and
hypertensive disorders
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- Gestational hypertension
- Pre-eclampsia
- Eclampsia
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Other, predominantly
related to pregnancy
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Digestive system
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- Acute fatty liver of pregnancy
- Gestational diabetes
- Hepatitis E
- Hyperemesis gravidarum
- Intrahepatic cholestasis of pregnancy
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Integumentary system /
dermatoses of pregnancy
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- Gestational pemphigoid
- Impetigo herpetiformis
- Intrahepatic cholestasis of pregnancy
- Linea nigra
- Prurigo gestationis
- Pruritic folliculitis of pregnancy
- Pruritic urticarial papules and plaques of pregnancy (PUPPP)
- Striae gravidarum
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Nervous system
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Blood
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- Gestational thrombocytopenia
- Pregnancy-induced hypercoagulability
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Maternal care related to the
fetus and amniotic cavity
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- amniotic fluid
- Oligohydramnios
- Polyhydramnios
- Braxton Hicks contractions
- chorion / amnion
- Amniotic band syndrome
- Chorioamnionitis
- Chorionic hematoma
- Monoamniotic twins
- Premature rupture of membranes
- Obstetrical hemorrhage
- placenta
- Circumvallate placenta
- Monochorionic twins
- Placenta praevia
- Placental abruption
- Twin-to-twin transfusion syndrome
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| Labor |
- Amniotic fluid embolism
- Cephalopelvic disproportion
- Dystocia
- Fetal distress
- Locked twins
- Obstetrical hemorrhage
- placenta
- Preterm birth
- Postmature birth
- Umbilical cord prolapse
- Uterine rupture
- Vasa praevia
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| Puerperal |
- Breastfeeding difficulties
- Lactation failure
- Galactorrhea
- Fissure of the nipple
- Breast engorgement
- Diastasis symphysis pubis
- Peripartum cardiomyopathy
- Postpartum depression
- Postpartum thyroiditis
- Puerperal fever
- Puerperal mastitis
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| Other |
- Concomitant conditions
- Diabetes mellitus
- Systemic lupus erythematosus
- Thyroid disorders
- Maternal death
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Index of obstetrics
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| Description |
- Pregnancy
- Development
- Anatomy
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| Disease |
- Pregnancy and childbirth
- Placenta and neonate
- Infections
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- oxytocins
- labor repressants
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Dislocations/subluxations, sprains and strains
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Joints and
ligaments |
| Head and neck |
- Dislocation of jaw
- Whiplash
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| Shoulder and upper arm |
- GH (Dislocated shoulder)
- AC (Separated shoulder)
- ALPSA lesion
- SLAP tear
- Bankart lesion
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| Elbow and forearm |
- Nursemaid's elbow
- Gamekeeper's thumb
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| Hip and thigh |
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| Knee and leg |
- Tear of meniscus
- Anterior cruciate ligament injury
- Unhappy triad
- Patellar dislocation
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| Ankle and foot |
- Sprained ankle (High ankle sprain)
- Metatarsophalangeal joint sprain (Turf toe)
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Muscles and
tendons |
| Shoulder and upper arm |
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| Hip and thigh |
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| Knee and leg |
- Patellar tendon rupture
- Achilles tendon rupture
- Shin splints
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Index of joint
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| Description |
- Anatomy
- head and neck
- cranial
- arms
- torso and pelvis
- legs
- bursae and sheathes
- Physiology
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| Disease |
- Arthritis
- acquired
- back
- childhood
- soft tissue
- Congenital
- Injury
- Symptoms and signs
- Examination
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| Treatment |
- Procedures
- Drugs
- rheumatoid arthritis
- gout
- topical analgesics
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Index of muscle
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| Description |
- Anatomy
- head
- neck
- arms
- chest and back
- diaphragm
- abdomen
- genital area
- legs
- Muscle tissue
- Physiology
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| Disease |
- Myopathy
- Soft tissue
- Connective tissue
- Congenital
- abdomen
- muscular dystrophy
- Neoplasms and cancer
- Injury
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- anti-inflammatory
- muscle relaxants
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UpToDate Contents
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English Journal
- Pubic symphysis diastasis sustained from a waterslide injury.
- Williamson M1, Vanacore F1, Hing C1.
- Journal of clinical orthopaedics and trauma.J Clin Orthop Trauma.2018 Jun;9(Suppl 2):S32-S34. doi: 10.1016/j.jcot.2018.01.002. Epub 2018 Jan 4.
- PMID 29928101
- [Case-control study on clinical effects of squeezing and clapping manipulation for treating the postpartum pubic symphysis separation].
- Yu D, Wang SQ1, Sun SC, Shi ZT, Liu ST, Ye YY.
- Zhongguo gu shang = China journal of orthopaedics and traumatology.Zhongguo Gu Shang.2018 May 25;31(5):431-435. doi: 10.3969/j.issn.1003-0034.2018.05.007.
- PMID 29890802
- Surgical and endoscopic treatment of bladder exstrophy-epispadias complex in a female dog.
- Jones B, Berent AC, Weisse CW, Hart R, Alvarez L, Fischetti A, Horn BD, Canning D.
- Journal of the American Veterinary Medical Association.J Am Vet Med Assoc.2018 Mar 15;252(6):732-743. doi: 10.2460/javma.252.6.732.
- 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 ind
- PMID 29504860
Japanese Journal
- Fixation of pubic symphysis diastasis and pubic rami fractures
Related Links
- Pubic symphysis diastasis is pain due to the spreading or separation of the ligaments in the pelvic region in pregnant women. ... What Is Pubic Symphysis Diastasis? Pubic symphysis diastasis (PSD) is moderate to severe pubic ...
- The symphysis pubis is the joint between the two pubic bones at the front of the pelvis. Diastasis Symphysis Pubis is a condition that occurs in pregnancy in which there is pain occurring in the pubic symphysis joint associated with ...
★リンクテーブル★
[★]
- 英
- pubic symphysis diastasis
- 関
- 恥骨結合、恥骨
[★]
恥骨結合
- 関
- symphyseal、symphysis pubica
[★]
- 関
- pubic bone、pubis