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Pubic symphyseal width in pediatric patients.

Deborah M McAlister1, Heather R Webb, Paul D Wheeler

  • 1Department of Orthopedic Surgery & Rehabilitation, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

Journal of Pediatric Orthopedics
|November 19, 2005
PubMed
Summary
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Establishing normal pubic symphyseal width in children is crucial for diagnosing pathological widening. This study provides a reference range of 0.52-0.84 cm for pediatric pubic symphyseal width, aiding clinical evaluation.

Area of Science:

  • Pediatric Radiology
  • Orthopedic Diagnostics
  • Anatomy

Background:

  • Lack of established, statistically sound methods for evaluating normal pubic symphyseal width in children.
  • Importance of normal values for identifying congenital or posttraumatic pubic symphysis widening.

Purpose of the Study:

  • Determine a reference range for normal pubic symphyseal width in pediatric patients.
  • Analyze variations based on age, age group, and gender.
  • Establish a threshold for pathological widening.

Main Methods:

  • Retrospective analysis of pediatric patient data.
  • Statistical evaluation of pubic symphyseal width measurements.
  • Interrater reliability testing using the interclass correlation coefficient.

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Main Results:

  • The normal range for pediatric pubic symphyseal width is 0.52–0.84 cm.
  • The overall mean width was 0.68 cm (SD 0.16 cm).
  • Measurements exceeding 0.84 cm warrant further pathological evaluation.

Conclusions:

  • This study provides essential reference data for pediatric pubic symphyseal width.
  • The established range aids in the diagnosis of pubic symphysis abnormalities.
  • Moderate interrater reliability suggests consistency in measurements between physicians.