Relaxin, a 6-kDa polypeptide hormone, is a potent mediator of matrix turnover and contributes to the loss of collagen and glycosaminoglycans (GAGs) from reproductive tissues, including the fibrocartilaginous pubic symphysis of several species. This effect is often potentiated by beta-estradiol. We postulated that relaxin and beta-estradiol might similarly contribute to the enhanced degradation ...

A 61-year-old Caucasian woman with body mass index 30 kg/m2 was referred to the Department of Gynecology at Västerås Hospital in Sweden for an asymptomatic abdominal above pubic symphysis which had gradually increased over month prior presentation. Her surgical history

OBJECTIVE To evaluate the utility of magnetic resonance imaging (MRI) in diagnosing structural injury in primiparous women at risk for pelvic floor injury. METHODS This was an observational study of 77 women who underwent 3T MRI after delivery. Women were operationally defined as high risk (n = 45) for levator ani muscle tears (risk factors: second-stage labor > 150 min or < 30 min, anal sphi...

BACKGROUND We have recently developed a subcutaneous anterior pelvic fixation technique (INFIX). This internal fixator permits patients to sit, roll over in bed and lie on their sides without the cumbersome external appliances or their complications. The purpose of this study was to evaluate the biomechanical stability of this novel supraacetabular pedicle screw internal fixation construct (INF...

The reported incidence of symphysis pubis diastasis following vaginal delivery is very low. The injury is more commonly caused by severe trauma from road traffic accidents and falls from heights. The reported incidence of peripartum pubic separation varies from 1 in 300 to 1 in 30,000 deliveries,1,2 although it may occur during the antepartum, intrapartum and postpartum periods. Mild separation...

Suchey-Brooks method based on morphological features of pubic symphysis is a common method of age evaluation of human skeletal remains. The aim of the study was the classification of the examined samples into a particular phase according to Suchey-Brooks method, comparing the estimated age according to Suchey-Brooks with living age of the identified persons. The study was conducted on 120 pairs...

Background and Objectives Attention to ovary dose is important for premenopausal women undergoing radiation therapy (RT) and must not be overlooked when treating extremity sarcoma. We assessed whether ovary-sparing RT plans could decrease ovary dose without compromising target coverage. Methods Standard sarcoma target volumes and organs at risk (OAR) were contoured by a sarcoma dedicated radi...

PURPOSE Precise definition of pelvic fracture location may enable prediction of which subjects are at risk for urethral injury and understanding of the pathophysiological mechanism of injury. We determined the specific anterior pelvic injury locations associated with urethral injury. MATERIALS AND METHODS We completed a retrospective, nested case-control study of 119 male patients evaluated a...

Osteomyelitis pubis is an infectious inflammation of the symphysis pubis and accounts for 2% of hematogenous osteomyelitis. This differs from osteitis pubis, a non-infectious inflammation of the pubic symphysis, generally caused by shear forces in young athletes. Both conditions present with similar symptoms and are usually differentiated on the basis of biopsy and/or culture. A case of osteomy...