Department of Trauma and Orthopaedics, Wrightington, Wigan and Leigh NHS Trust, Wigan, Lancashire, UK.
Eur J Emerg Med. 2009 Dec;16(6):342-3. doi: 10.1097/MEJ.0b013e32832d3bf5.
Children involved in high-energy blunt trauma undergo pelvic radiographs as part of their Advanced Trauma Life Support assessment to exclude injury. One radiological indicator of a pelvic injury is widening of the symphysis pubis. There are normal variations in the size of the symphysis pubis throughout childhood. However, as clinicians, we should be aware of the normal variation in size of the symphysis pubis and that trauma is not the sole cause of an 'abnormally' widened symphysis pubis. This report describes an idiopathic widened symphysis pubis unrelated to any other congenital pathology and highlights the normal variation of the symphysis pubis and the need for clinical vigilance.
儿童在遭受高能量钝性创伤后，作为高级创伤生命支持评估的一部分，需要进行骨盆 X 光检查以排除损伤。骨盆损伤的一个放射学指标是耻骨联合增宽。耻骨联合在整个儿童期的大小都有正常的变化。然而，作为临床医生，我们应该意识到耻骨联合大小的正常变化，并且创伤并不是耻骨联合“异常”增宽的唯一原因。本报告描述了一种特发性的耻骨联合增宽，与任何其他先天性病变无关，并强调了耻骨联合的正常变化以及临床警惕的必要性。
