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  1. Dorai CR, Kareem BA
    Injury, 1991 Jul;22(4):329-30.
    PMID: 1937735
    Matched MeSH terms: Pubic Symphysis/injuries*
  2. Chee, W.H., Ahmad, A.R.
    JUMMEC, 2018;21(2):59-63.
    MyJurnal
    Locked pubic symphysis is a rare form of pelvic injury that usually occurs after a lateral compression injury to
    the pelvis, where the intact pubis is trapped behind the contralateral pubis. To the best of our knowledge, there
    were 25 similar cases reported in the English literature since it was first described in 1952. We present a case
    of locked pubic symphysis with a left iliac wing fracture and a left femur shaft fracture requiring open reduction
    and internal fixation. We also reviewed previous reported cases of locked pubic symphysis and analysed the
    pattern of presentation and guide to management of such injuries. We propose a classification system for
    grading overlapping pubic symphysis that will provide a better guide to the management of such injuries.
    Matched MeSH terms: Pubic Symphysis
  3. Robert Peter J, Ho JJ, Valliapan J, Sivasangari S
    PMID: 26346107 DOI: 10.1002/14651858.CD008136.pub3
    BACKGROUND: Symphysis fundal height (SFH) measurement is commonly practiced primarily to detect fetal intrauterine growth restriction (IUGR). Undiagnosed IUGR may lead to fetal death as well as increase perinatal mortality and morbidity.

    OBJECTIVES: The objective of this review is to compare SFH measurement with serial ultrasound measurement of fetal parameters or clinical palpation to detect abnormal fetal growth (IUGR and large-for-gestational age), and improving perinatal outcome.

    SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (14 July 2015) and reference lists of retrieved articles.

    SELECTION CRITERIA: Randomised controlled trials including quasi-randomised and cluster-randomised trials involving pregnant women with singleton fetuses at 20 weeks' gestation and above comparing tape measurement of SFH with serial ultrasound measurement of fetal parameters or clinical palpation using anatomical landmarks.

    DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy.

    MAIN RESULTS: One trial involving 1639 women was included. It compared SFH measurement with clinical abdominal palpation.There was no difference in the two reported primary outcomes of incidence of small-for-gestational age (risk ratio (RR) 1.32; 95% confidence interval (CI) 0.92 to 1.90, low quality evidence) or perinatal death.(RR 1.25, 95% CI 0.38 to 4.07; participants = 1639, low quality evidence). There were no data on the neonatal detection of large-for-gestational age (variously defined by authors). There was no difference in the reported secondary outcomes of neonatal hypoglycaemia, admission to neonatal nursery, admission to the neonatal nursery for IUGR (low quality evidence), induction of labour and caesarean section (very low quality evidence). The trial did not address the other outcomes specified in the 'Summary of findings' table (intrauterine death; neurodevelopmental outcome in childhood). GRADEpro software was used to assess the quality of evidence, downgrading of evidence was based on including a small single study with unclear risk of bias and a wide confidence interval crossing the line of no effect.

    AUTHORS' CONCLUSIONS: There is insufficient evidence to determine whether SFH measurement is effective in detecting IUGR. We cannot therefore recommended any change of current practice. Further trials are needed.

    Matched MeSH terms: Pubic Symphysis/anatomy & histology*
  4. Hisham S, Abdullah N, Mohamad Noor MH, Franklin D
    J Forensic Sci, 2019 Nov;64(6):1803-1811.
    PMID: 31310668 DOI: 10.1111/1556-4029.14125
    Forensic age estimation methods are biased to sex and population; in general, accuracy is reduced when applied to foreign populations. This study assessed the accuracy of the Suchey-Brooks method in contemporary Malaysian individuals and aimed to formulate population-specific standards. Multi-detector computed tomography scans of 355 individuals (165 male; 190 female) of 15-83 years of age were reconstructed using 3D-volumetric rendering in RadiAnt. Pubic symphyseal phase, bias, inaccuracy, and percentage correct age classifications are examined. Transition analysis was used to develop age estimation standards. High observer agreement (κ = 0.763-0.832) and a positive relationship between age and pubic symphyseal phase (r = 0.884-0.90) were demonstrated. Mean inaccuracies were 8.62 and 8.95 years for males and females, respectively; overall correct classification was 97.8%. Transition ages between phases in males were 18.79, 23.29, 28.85, 43.64, and 61.15 years; in females, the corresponding data were 19.77, 22.53, 32.62, 41.85, and 57.39 years.
    Matched MeSH terms: Pubic Symphysis/anatomy & histology
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