Evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients: A computerized tomography study of 1020 individuals
Objective: The aim of this study was to create a reference about normal pubic symphysis and sacroiliac joint widths of children and adolescents. Methods: A total of 1020 computerized tomography axial scans of patients without pelvic injury between 2 and 18 year-old were studied. The narrowest width...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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AVES
2017-03-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X17300998 |
| _version_ | 1797920469338292224 |
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| author | Önder Kalenderer Ali Turgut Tayfun Bacaksız Emre Bilgin Mert Kumbaracı Hasan Ali Akkan |
| author_facet | Önder Kalenderer Ali Turgut Tayfun Bacaksız Emre Bilgin Mert Kumbaracı Hasan Ali Akkan |
| author_sort | Önder Kalenderer |
| collection | DOAJ |
| description | Objective: The aim of this study was to create a reference about normal pubic symphysis and sacroiliac joint widths of children and adolescents. Methods: A total of 1020 computerized tomography axial scans of patients without pelvic injury between 2 and 18 year-old were studied. The narrowest width of pubic symphysis and bilateral sacroiliac joints were measured. Results: The average pubic symphyseal width at 2 years old boys was 6.35 ± 1.06 mm (4.88–9.13 mm). The average of right and left sacroiliac joints' widths at 2 years old boys was 4.56 ± 0.65 mm (3.59–6.07 mm) and 4.58 ± 0.66 mm (3.44–5.74 mm), respectively. The average pubic symphyseal width of 2 years old girls was 5.85 ± 1.14 mm (4.06–8.20 mm). The average of right and left sacroiliac joints' widths at 2 years old girls was found 4.36 ± 0.56 mm (3.50–5.37 mm) and 4.42 ± 0.59 mm (3.58–5.73 mm), respectively. The average pubic symphyseal width at 18 years old boys was found 3.68 ± 1.30 mm (1.90–5.79 mm). The average of right and left sacroiliac joints' widths at 18 years old boys was found 1.97 ± 0.21 mm (1.73–2.41 mm) and 2.04 ± 0.30 mm (1.70–2.65 mm), respectively. The average pubic symphyseal width at 18 years old girls was 3.92 ± 0.52 mm (2.97–4.76 mm). The average of right and left sacroiliac joints' widths at 18 years old girls was found 2.34 ± 0.40 mm (1.58–3.34 mm) and 2.33 ± 0.37 mm (1.58–3.10 mm), respectively. Conclusion: Our results suggest that one should be suspicious about pelvic injury if the width of pubic symphysis is over 10 mm and width of sacroiliac joint is over 8 mm especially in patients younger than 10 years-old. Level of Evidence: Level III Diagnostic study. Keywords: Pubic symphysis, Sacroiliac joint, Measurement, Pediatric, Computerized tomography |
| first_indexed | 2024-04-10T14:01:37Z |
| format | Article |
| id | doaj.art-edb44011f7c141c99f9fdec6b9aaedc8 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T14:01:37Z |
| publishDate | 2017-03-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-edb44011f7c141c99f9fdec6b9aaedc82023-02-15T16:10:13ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2017-03-01512150154Evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients: A computerized tomography study of 1020 individualsÖnder Kalenderer0Ali Turgut1Tayfun Bacaksız2Emre Bilgin3Mert Kumbaracı4Hasan Ali Akkan5Corresponding author.; İzmir Tepecik Training and Research Hospital, Turkeyİzmir Tepecik Training and Research Hospital, Turkeyİzmir Tepecik Training and Research Hospital, Turkeyİzmir Tepecik Training and Research Hospital, Turkeyİzmir Tepecik Training and Research Hospital, Turkeyİzmir Tepecik Training and Research Hospital, TurkeyObjective: The aim of this study was to create a reference about normal pubic symphysis and sacroiliac joint widths of children and adolescents. Methods: A total of 1020 computerized tomography axial scans of patients without pelvic injury between 2 and 18 year-old were studied. The narrowest width of pubic symphysis and bilateral sacroiliac joints were measured. Results: The average pubic symphyseal width at 2 years old boys was 6.35 ± 1.06 mm (4.88–9.13 mm). The average of right and left sacroiliac joints' widths at 2 years old boys was 4.56 ± 0.65 mm (3.59–6.07 mm) and 4.58 ± 0.66 mm (3.44–5.74 mm), respectively. The average pubic symphyseal width of 2 years old girls was 5.85 ± 1.14 mm (4.06–8.20 mm). The average of right and left sacroiliac joints' widths at 2 years old girls was found 4.36 ± 0.56 mm (3.50–5.37 mm) and 4.42 ± 0.59 mm (3.58–5.73 mm), respectively. The average pubic symphyseal width at 18 years old boys was found 3.68 ± 1.30 mm (1.90–5.79 mm). The average of right and left sacroiliac joints' widths at 18 years old boys was found 1.97 ± 0.21 mm (1.73–2.41 mm) and 2.04 ± 0.30 mm (1.70–2.65 mm), respectively. The average pubic symphyseal width at 18 years old girls was 3.92 ± 0.52 mm (2.97–4.76 mm). The average of right and left sacroiliac joints' widths at 18 years old girls was found 2.34 ± 0.40 mm (1.58–3.34 mm) and 2.33 ± 0.37 mm (1.58–3.10 mm), respectively. Conclusion: Our results suggest that one should be suspicious about pelvic injury if the width of pubic symphysis is over 10 mm and width of sacroiliac joint is over 8 mm especially in patients younger than 10 years-old. Level of Evidence: Level III Diagnostic study. Keywords: Pubic symphysis, Sacroiliac joint, Measurement, Pediatric, Computerized tomographyhttp://www.sciencedirect.com/science/article/pii/S1017995X17300998 |
| spellingShingle | Önder Kalenderer Ali Turgut Tayfun Bacaksız Emre Bilgin Mert Kumbaracı Hasan Ali Akkan Evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients: A computerized tomography study of 1020 individuals Acta Orthopaedica et Traumatologica Turcica |
| title | Evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients: A computerized tomography study of 1020 individuals |
| title_full | Evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients: A computerized tomography study of 1020 individuals |
| title_fullStr | Evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients: A computerized tomography study of 1020 individuals |
| title_full_unstemmed | Evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients: A computerized tomography study of 1020 individuals |
| title_short | Evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients: A computerized tomography study of 1020 individuals |
| title_sort | evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients a computerized tomography study of 1020 individuals |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X17300998 |
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