6 Mar 2012 ... The most common sites of POFs include the pubic rami, sacrum, ilium, and acetabulum. Combined pubic rami (PROFs) and sacral osteoporotic ...Isolated pubic ramus fractures are the least unstable fracture types in FFP . Stability of the pelvic ring with pubic ramus fractures and intact peri-pelvic soft tissues is only reduced by 7% . It seems reasonable to hypothesize that isolated pubic ramus fractures have limited impact on the patient’s outcome and can be treated with “careful ...The most common sites of POFs include the pubic rami, sacrum, ilium, and acetabulum. Combined pubic rami (PROFs) and sacral osteoporotic fractures (SOFs) have been reported, mostly in retrospective studies, describing the mechanism of injury and incidence. The aim of this study was to evaluate the association between PROFs and …Unsp fracture of left pubis, init encntr for closed fracture; Closed fracture left pubis; Closed fracture of left pubis; Left pubic bone fracture. ICD-10-CM Diagnosis Code S02.641A [convert to ICD-9-CM] Fracture of ramus of right mandible, initial encounter for closed fracture. Fracture of ramus of right mandible, init.Isolated loss of the left inferior pubic ramus and thinning of the superior pubic ramus were detected, raising the question of whether the lesion was a secondary osteolytic lesion, a primary osteolytic lesion or due to endocrine disease. Conclusion: Isolated loss of the inferior pubic ramus with no concomitant bony or soft tissue …Definition. Pubis consists of a body and two rami, namely superior and inferior. The inferior pubic ramus is positioned beneath the obturator foramen and extends sideways from the lower end of the pubic body to join with the ischial ramus, creating a fused ischiopubic ramus. Additional information can be found here: ischiopubic ramus.Anterior-posterior radiograph of the pelvis, demonstrating fractures through the superior and inferior pubic rami on the left (orange arrows), as well as a fracture …L: undisplaced superior ramus # R (Torode & Zeig III) R: displaced R and L inferior and superior rami# (Torode&Zeig III) Torode & Zeig IV. Fracture near left SI joint and fracture through left superior and inferior pubic rami Torode IV injury with pubic diastasis and SI joint disruption Mature Pelvis: Lateral Compression typeSome (eg, symphyseal or pubic ramus fractures) result from minor or low-energy injuries (eg, falls at home), especially in patients with osteoporosis. Some pelvic fractures, typically in adolescents with open growth plates, are small avulsion fractures of the anterior or inferior iliac spine or of the ischial tuberosity.The inferior pubic ramus was excised 2 e 3 cm with bone nibblers and osteotomes until no prominence remained. Closure was performed with absorbable sutures. There were no postoperative complications.The pubis is the smallest of these three bones. It is located at the anteroinferior aspect of the pelvis. The pubis consists of a body and two rami (superior and inferior). Located on the anterior aspect of the …Pathological fractures of the superior or inferior pubic rami, the iliac crest, the sacral ala, and avulsion fractures involving the anterior superior or anterior inferior iliac spines or the ischial tuberosity are common and should be treated nonoperatively [17, 18]. Moreover, patients with pelvic metastases whose general medical condition is ...The right and left pubic bones meet at the pubic symphysis. The pubic arch is the bony structure formed by the pubic symphysis, and the inferior pubic rami of the adjacent pubic bones. The inverted V-shape formed as the ischiopubic rami from both sides come together at the pubic symphysis is called the subpubic angle .Pelvic ramus tumors tend to settle more frequently in the pubic ramus, whereas ischial ramus tumors are more likely to be malignant. In addition, the diagnosis …Celebrate National Pubic Lands Day by volunteering with the National Environmental Education Foundation. There's a good chance your future travel plans involve one of this country'...Short description: Unsp fracture of unsp pubis, init encntr for closed fracture The 2024 edition of ICD-10-CM S32.509A became effective on October 1, 2023. This is the American ICD-10-CM version of S32.509A - other international versions of ICD-10 …Pubic rami fractures are a subgroup of pelvic fractures. Pelvic fractures are related to pelvic trauma with a risk of grave hemorrhage. If a pelvic fracture is suspected, proper physical examination and radiographic studies are extremely important. The initial radiograph performed on this case raised suspicion of a right sacroiliac joint injury.Initial radiographs showed a unilateral left superior and inferior pubic rami fracture, which was treated conservatively. Forty-eight hours post-admission, the patient became tachycardic and hypotensive and was found to have dropped his haemoglobin from 125 to 89 g/L. After resuscitation, a repeat contrast CT scan revealed an enlarging ...The pelvic bone or pubis is the smallest part of the hip bone. It consists of a small body situated anteromedially and two rami, superior pelvic ramus and inferior pelvic ramus, extending posterolatery from the body. The rami of the pelvic bone resemble the letter ‘K’ from an anterior view. Together, these two rami enclose part of the ...From the case: Pubic rami fracture. x-ray. No obvious fracture femoral or pelvic fracture can be observed. There is a faint radio-opaque line over the medial aspect of the right inferior pubic rami. Three days post fall, the patient is still complaining of right-sided pelvic pain now with associated 'shooting' pain down the leg.The inferior pubic ramus passes laterally and downward from the pubic symphysis; it becomes narrower as it descends and joins with the inferior ramus of the ischium below the obturator foramen. The inferior pubic ramus is thin and flat and its anterior surface is rough, because the origins of various muscles are here—the gracilis, part of the ...The 2024 edition of ICD-10-CM S32.59 became effective on October 1, 2023. This is the American ICD-10-CM version of S32.59 - other international versions of ICD-10 S32.59 may differ. The following code (s) above S32.59 contain annotation back-references that may be applicable to S32.59 : S00-T88 Injury, poisoning and certain other consequences ...Pelvic Injuries. Dr. Steven S. Louis is an integral part of the Hinsdale Orthopaedics team since 1997. Dr. Louis’ exceptional surgical skills are complemented by a personable style and dedication to the highest quality patient outcomes and satisfaction. He is a board certified orthopaedic surgeon and is fellowship trained in the area of trauma.Short description: Unsp fracture of left pubis, subs for fx w routn heal The 2024 edition of ICD-10-CM S32.502D became effective on October 1, 2023. This is the American ICD-10-CM version of S32.502D - other international versions of ICD-10 S32.502D may differ.Pelvic ramus tumors tend to settle more frequently in the pubic ramus, whereas ischial ramus tumors are more likely to be malignant. In addition, the diagnosis … A fractured pubic rami is a break to the bones that form part of the pelvis. This can be a serious injury, especially in the elderly. Fractured pubic rami injuries typically take between 4 and 6 weeks to heal, although recovery time can be longer for severe fractures. Fractured pubic rami. The pubic ramus is the name for the superior ramus and ... Radiographs showed posterior and superior migration of the right hemipelvis and nonunion of the left anterior pelvis. A CT image showed nonunion through the right sacrum and the left pubic rami, with displacement. We planned a three-stage pelvic reconstruction. During the first stage, we reconstructed her pelvis through the left pubic …A. Initial radiograph only shows indistinct fracture line in the left inferior pubic ramus (arrows). B. Bone scan with 99m Tc-MDP reveals a focal area of increased tracer activity in the left inferior pubic ramus (arrows), suggesting a fatigue fracture, which is disclosed definitely on the caudal view of the pelvis (arrowhead). C.S00-S09 - Injuries to the head ; S10-S19 - Injuries to the neck ; S20-S29 - Injuries to the thorax ; S30-S39 - Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals ; S40-S49 - Injuries to the shoulder and upper arm ; S50-S59 - Injuries to the elbow and forearm ; S60-S69 - Injuries to the wrist, hand and fingers ; S70-S79 - Injuries to the …Pelvic ring fractures are high energy fractures of the pelvic ring which typically occur due to blunt trauma. Diagnosis is made radiographically with pelvic radiographs and further …Pubic lice are tiny wingless insects that infect the pubic hair area and lay eggs there. These lice can also be found in armpit hair, eyebrows, mustache, beard, around the anus, an...Inspect the superior and inferior pubic rami for discontinuities. 6. ... In this schematic, the right pubic rami are fractured, and the left sacroiliac joint is diastatic. Because the pubic symphysis is intact, the left pelvis carried the small right pubic fragment with it in its cephalad migration. The darkened region indicates the portion of ...Inferior Pubis Ramus Fracture Dx Code Hello, There's some discussion in my office going on how to code a Left Inferior Pubis Ramus Fracture, displaced. I have come up with S32.592A, which is other specified fracture of left pubis, initi...Look beyond DRDO. The context of war is changing for India too. On its western border, Pakistan, though numerically inferior to India, is trying its best to modernize its armed for...A, Axial CT images show diastasis of pubic symphysis (< 2.5 cm) (arrow, B) with small osseous fragments at right inferior pubic ramus (arrowhead, A). Fig. 5B —Young-Burgess type I anterior-posterior compression injury in 42-year-old man who sustained straddle injury while horseback riding.The inferior pubic ramus joins the ischial ramus to form the ischiopubic ramus. The subpubic angle is formed by the medial convergence of the right and left ischiopubic rami. The lateral side of the hip bone has the …Most popular Instagrams in America: Disneyland, Disneyworld, Miami Beach, Central Park, New York, Venice Beach, California. The more jaded travelers among us might say nobody trave...Anterior-posterior radiograph of the pelvis, demonstrating fractures through the superior and inferior pubic rami on the left (orange arrows), as well as a fracture …Find out more about blood platelets. Thrombocytopenia means a reduction in the platelet count below the normal lower limit. Try our Symptom Checker Got any other symptoms? Try our ...Anatomy. The Pelvis is made up of the Ilium bones and the sacrum. The Pubic Rami are at the bottom of the pelvis. Fractured Pubic Rami. It is a common injury after a fall. You …Patient’s right leg is shorter than the left. She reports pain with log roll on the right side. There is pain and instability to rotation of the right hemi-pelvis. ... AP pelvis obtained in the trauma room demonstrates a vertically oriented right superior and inferior pubic rami fractures with complete disruption of the right sacroiliac joint ...From Barry to Titans, a few of your favorite shows are returning for one last hurrah. As HBO Max continues to transform into whatever inferior version of its former self it will ev...Note that the tumor appears soft and has grown along the left inferior pubic ramus (r), surrounding the pubic symphysis (arrow in C) and displacing the bladder (Bl) without invading either structure. Figure 4. Download as PowerPoint. Figure 5. Aggressive angiomyxoma in a 23-year-old woman. (A) ...The 2024 edition of ICD-10-CM S32.59 became effective on October 1, 2023. This is the American ICD-10-CM version of S32.59 - other international versions of ICD-10 S32.59 may differ. The following code (s) above S32.59 contain annotation back-references that may be applicable to S32.59 : S00-T88 Injury, poisoning and certain other consequences ... Stress fracture, pelvis, initial encounter for fracture. M84.350A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM M84.350A became effective on October 1, 2023. This is the American ICD-10-CM version of M84.350A - other international versions of ICD-10 M84 ... The most common sites of POFs include the pubic rami, sacrum, ilium, and acetabulum. Combined pubic rami (PROFs) and sacral osteoporotic fractures (SOFs) have been reported, mostly in retrospective studies, describing the mechanism of injury and incidence. The aim of this study was to evaluate the association between PROFs and …500 results found. Showing 1-25: ICD-10-CM Diagnosis Code S22.43XA [convert to ICD-9-CM] Multiple fractures of ribs, bilateral, initial encounter for closed fracture. Multiple fractures of ribs, bilateral, init for clos fx; Bilat multiple ribs fracture; Bilateral multiple ribs fracture; Closed multiple fractures of bilateral ribs.The pubic symphysis is reinforced by four strong ligaments 2,3: superior pubic ligament: runs from pubic crest to pubic crest. inferior pubic (or subpubic or arcuate) ligament: runs from right to left inferior pubic ramus. anterior pubic ligament: blends with periosteum laterally as well as the interpubic discLots of muscles that originate from pubis gracilis muscle and adductor brevis muscle at the external surface of the body of pubis and its inferior ramus; obturator externus muscle and obturator internus muscle; adductor longus muscle at upper body of pubis just below the pubic crest; pectineus muscle from the external surface of superior ramus; sphincter …Inferior Pubis Ramus Fracture Dx Code Hello, There's some discussion in my office going on how to code a Left Inferior Pubis Ramus Fracture, displaced. I have come up with S32.592A, which is other specified fracture of left pubis, initi...Mar 15, 2022 · In this tutorial we take you through the anatomy of the pelvis using our 3D anatomy model and discuss the features and management approach of stable and unst... Disruption of pubic symphysis >2.5cm and the pelvis opens like a book and may be accompanied by sacroilial joint disruption; External rotation of the hemipelvis requires binding and likely surgical fixation; Straddle pelvic fracture. Unstable; Both rami fractured on both sides or both rami on one side with pubic symphysis diastasis Closed fracture left pubis; Closed fracture of left pubis; Left pubic bone fracture; ICD-10-CM S32.502A is grouped within Diagnostic Related Group(s) (MS-DRG v 41.0): 535 Fractures of hip and pelvis with mcc; 536 Fractures of hip and pelvis without mcc; 963 Other multiple significant trauma with mcc; 964 Other multiple significant trauma with cc Pelvic Injuries. Dr. Steven S. Louis is an integral part of the Hinsdale Orthopaedics team since 1997. Dr. Louis’ exceptional surgical skills are complemented by a personable style and dedication to the highest quality patient outcomes and satisfaction. He is a board certified orthopaedic surgeon and is fellowship trained in the area of trauma. The inferior pubic ramus was excised 2 e 3 cm with bone nibblers and osteotomes until no prominence remained. Closure was performed with absorbable sutures. There were no postoperative complications.Acetabular Fractures. An acetabular fracture is a break in the socket portion of the "ball-and-socket" hip joint. These hip socket fractures are not common — they occur much less frequently than fractures of the upper femur or femoral head (the "ball" portion of the joint). The majority of acetabular fractures are caused by some type of high ...S00-S09 - Injuries to the head ; S10-S19 - Injuries to the neck ; S20-S29 - Injuries to the thorax ; S30-S39 - Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals ; S40-S49 - Injuries to the shoulder and upper arm ; S50-S59 - Injuries to the elbow and forearm ; S60-S69 - Injuries to the wrist, hand and fingers ; S70-S79 - Injuries to the …Definition/description. A pelvic fracture is a disruption of the bony structures of the Pelvis. An anatomic ring is formed by the fused bones of the ilium, ischium and pubis attached to the sacrum. A pelvic fracture can occur by low-energy mechanism or by high-energy impact. They can range in severity from relatively benign injuries to life ...Osteitis pubis is inflammation in the joint between your left and right pubic bones (your pubic symphysis). It causes pain and swelling in your groin or lower abdomen. Osteitis pubis is a type of symphysis pubis dysfunction that’s usually caused by repetitively using your hips, pelvis and groin. It’s most common in athletes.Symptoms of a Pelvic Stress Fracture. Pain is felt in the groin or hip which increases with exercise but eases or gets better with rest. Pelvic stress fracture symptoms include tenderness over the inferior pubic ramus at the bottom of the pelvis. It is likely you will have reduced strength and movement in the pelvic area.Inferior Pubis Ramus Fracture Dx Code Hello, There's some discussion in my office going on how to code a Left Inferior Pubis Ramus Fracture, displaced. I have come up with S32.592A, which is other specified fracture of left pubis, initi...To code a diagnosis of this type, you must use one of the three child codes of S32.50 that describes the diagnosis 'unspecified fracture of pubis' in more detail. S32.50 Unspecified fracture of pubis. S32.501 Unspecified fracture of …The frontal view of the pelvis confirms the presence of healing fractures of the left inferior pubic rami and pubic tubercle. Case Discussion DXA images are of lower resolution than radiographs, but they are important to review by the technologist and physician for several reasons: confirming appropriate patient positioning and placement of ...Inferior dislocation of left acromioclavicular joint, sequela. Inferior dislocation of l acromioclav jt, sequela. ICD-10-CM Diagnosis Code S32.502B [convert to ICD-9-CM] Unspecified fracture of left pubis, initial encounter for open fracture. Unsp fracture of left pubis, init encntr for open fracture; Left pubic bone fracture; Open fracture of ... The pubic arch is the bony structure formed by the pubic symphysis, and the bodies and inferior pubic rami of the adjacent pubic bones. The inferior pubic ramus extends downward to join the ischial ramus. Together, these form the single ischiopubic ramus, which extends from the pubic body to the ischial tuberosity. The inverted V-shape formed ... Magnetic resonance imaging (MRI) scan demonstrated a nondisplaced left sacral fracture (D) and left superior pubic ramus fracture (E). Open in a separate window. Figure 3. Diagnostic imaging algorithm. ... (CT) scan (B) demonstrating a large posterior crescent fracture and superior and inferior rami fractures anteriorly. C, Postoperative …Mar 15, 2022 · In this tutorial we take you through the anatomy of the pelvis using our 3D anatomy model and discuss the features and management approach of stable and unst... Urogenital Injuries. present in 12-20% of patients with pelvic fractures. higher incidence in males (21%) includes. posterior urethral tear. most common urogenital injury with pelvic ring fracture. bladder rupture. may see extravasation around the pubic symphysis. associated with mortality of 22-34%. Pelvic Injuries. Dr. Steven S. Louis is an integral part of the Hinsdale Orthopaedics team since 1997. Dr. Louis’ exceptional surgical skills are complemented by a personable style and dedication to the highest quality patient outcomes and satisfaction. He is a board certified orthopaedic surgeon and is fellowship trained in the area of trauma.Jun 12, 2013 · Pubic rami fractures are common. They are associated with significant morbidity and mortality. These fractures are usually classified as stable injuries and traditionally receive limited orthopaedic input. Management typically involves hospital admission and early input from physiotherapists and occupational therapists. Early mobilisation is advocated as a central part of managing these ... The frontal view of the pelvis confirms the presence of healing fractures of the left inferior pubic rami and pubic tubercle. Case Discussion DXA images are of lower resolution than radiographs, but they are important to review by the technologist and physician for several reasons: confirming appropriate patient positioning and placement of ...Pubic Ramus Fracture Causes, Symptoms & Treatment Options. What we commonly call our “hip bones” are actually each three separate bones: the pubis, the ischium, and the ilium. The pubis itself is made up of two smaller bones: the superior ramus and the inferior ramus.500 results found. Showing 1-25: ICD-10-CM Diagnosis Code S22.43XA [convert to ICD-9-CM] Multiple fractures of ribs, bilateral, initial encounter for closed fracture. Multiple fractures of ribs, bilateral, init for clos fx; Bilat multiple ribs fracture; Bilateral multiple ribs fracture; Closed multiple fractures of bilateral ribs.The 2024 edition of ICD-10-CM S32.59 became effective on October 1, 2023. This is the American ICD-10-CM version of S32.59 - other international versions of ICD-10 S32.59 may differ. The following code (s) above S32.59 contain annotation back-references that may be applicable to S32.59 : S00-T88 Injury, poisoning and certain other consequences ...Radiographs showed posterior and superior migration of the right hemipelvis and nonunion of the left anterior pelvis. A CT image showed nonunion through the right sacrum and the left pubic rami, with displacement. We planned a three-stage pelvic reconstruction. During the first stage, we reconstructed her pelvis through the left pubic …Sep 8, 2023 · Pubic Ramus Fracture The most common type of pelvic fracture is an injury to one or both of the pubic ramus bones —two ring-shaped bones located on each side of the lower pelvis. In at least 80 percent of cases, the pubic ramus fractures in two places at once. Search Results. 500 results found. Showing 1-25: ICD-10-CM Diagnosis Code M84.350A [convert to ICD-9-CM] Stress fracture, pelvis, initial encounter for fracture. Left pubic bone fracture; Pelvis fracture; Right pubic bone fracture; Stress fracture of left pubic ramus; Stress fracture of pelvis; Stress fracture of right pubic ramus.S32.592 - Other specified fracture of left pubis; S32.592A - Other specified fracture of left pubis, initial encounter for closed fracture; ... Fracture of inferior pubic ramus; Fracture of pubic tubercle; Clinical Classification. Clinical Category is Fracture of …Gross anatomy Osteology. The pubic bone has an anteromedial body, a superior ramus passing upwards to the acetabulum and an inferior ramus bordering the obturator foramen which joins the ischial ramus (conjoined ramus or the ischiopubic ramus).. The body of pubis is flattened and has an anterior, posterior, and symphyseal … ICD-10-CM Code for Other specified fracture of left pubis, initial encounter for closed fracture S32.592A ICD-10 code S32.592A for Other specified fracture of left pubis, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes . The left obturator internus muscle is thickened, no pelvic sidewall hematoma. Left sacral ala fracture lateral to the sacral foramina without significant displacement. The SI joints are not widened. Superior and inferior pubic rami fractures on the left with fracture extension into the pubic body. No widening of the symphysis pubis.Some upgrades are subjective—like moving from pen and paper to a digital note-taker. Other upgrades, however, change the way you use technology, and make it impossible to go back t...Delta Air Lines is adding nine Airbus A350-900 wide-body jets to its fleet, but they're all going to feature far inferior cabins, with an outdated business class and no premium eco...The Pubic Rami are at the bottom of the pelvis . Fractured Pubic Rami. It is a common injury after a fall. You may find that you have broken the opposite side of your Pubic Rami to the side that you fell on. People are more prone to these types of fractures particularly if the bones are 'thin' (osteoporosis)edema inthecontralateral pubic ramus on MR images canhelp establish thecorrect diagnosis. Thesame istrueofcharacteristic sacral stress changes. The symphysis may alsobeinvolved inmetabolic bonedisease. Profound subchondral bone erosion and apparent symphyseal widening maybeseen in patients with hyperparathyroidism and renal osteodystrophy ...
Inferior Pubis Ramus Fracture Dx Code Hello, There's some discussion in my office going on how to code a Left Inferior Pubis Ramus Fracture, displaced. I have come up with S32.592A, which is other specified fracture of left pubis, initi.... Southwest 3058
Pubic rami fractures are common. They are associated with significant morbidity and mortality. These fractures are usually classified as stable injuries and traditionally receive limited orthopaedic input. Management typically involves hospital admission and early input from physiotherapists and occupational therapists. Early …The inferior pubic ramus joins the ischial ramus to form the ischiopubic ramus. The subpubic angle is formed by the medial convergence of the right and left ischiopubic rami. The lateral side of the hip bone has the cup-like acetabulum, which is part of the hip joint.27 Jul 2022 ... ... inferior pubic rami fractures and a small left zone 1 sacral fracture. Also noted are severe degenerative changes of the right hip and spine ...The inferior pubic ramus is a thin and flat bone that makes up one third of the pubis. It passes laterally and downward from the medial end of the superior ramus, and becomes narrower as it descends and joins with the inferior ramus of the ischium below the obturator foramen. 7.7C: Pubis is shared under a CC BY-SA license and was …CT revealed left extradural haemorrhage and skull fracture with intracranial air (b, arrow). There was also an unsuspected complex liver injury with active contrast extravasation (c, arrow). ... It is injured in anterior–posterior compression fractures where there are inferior pubic rami fractures or fractures involving the lesser sciatic ...MACQUARIE GROUP LTD.EO-MEDIUM-TERM NOTES 2022(29) (XS2433206740) - All master data, key figures and real-time diagram. The Macquarie Group Ltd.-Bond has a maturity date of 1/19/202...A pelvic fracture is a break in one or more of your bones in your pelvis. Pelvic fractures are an uncommon type of fracture that can range from mild to severe. While mild pelvic fractures usually don’t require surgery, severe fractures have to be fixed with surgery.The pubic ramus is the name for two parts of the pelvis; the superior ramus and the inferior ramus. Fractured pubic rami injuries are not very common, but they are very serious and can be an extremely painful experience. This is especially the case with a pubic rami fracture in elderly patients, which could be highly dangerous.The Pubic Rami are at the bottom of the pelvis . Fractured Pubic Rami. It is a common injury after a fall. You may find that you have broken the opposite side of your Pubic Rami to the side that you fell on. People are more prone to these types of fractures particularly if the bones are 'thin' (osteoporosis)Ischiopubic synchondrosis asymmetry (van Neck-Odelberg disease) is the characteristic enlargement of one of the ischiopubic synchondroses. It is largely considered an anatomic variant of skeletal development, given that it is a common and usually asymptomatic finding. However, some cases are thought to be symptomatic and may …Isolated loss of the left inferior pubic ramus and thinning of the superior pubic ramus were detected, raising the question of whether the lesion was a secondary osteolytic lesion, a primary osteolytic lesion or due to endocrine disease. Conclusion: Isolated loss of the inferior pubic ramus with no concomitant bony or soft tissue ….
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