Determination Of Subpubic Angle In Egyptian Population

Khodeary, Mohammed F.; El-Din, Abeer A. I. Sharaf; Abd-El-hameed, Saly Y.; Mohamed, Aml; Thabet, Hayam Z.

doi:10.21608/mjfmct.2009.52969

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Though our study findings cannot be generalized for our population due to the smaller sample size, this widely accepted simple rule of 90° SPA for sex determination may not still be applicable in our population as mean SPA in the male in our study is way more than the cut-off value. 4,5,6,7,8,9 SPA in our study is comparable to the SPA in the study done by Akhlaghi et al (140.0° ± 14.3° in male and 101.0° ± 13.3° in female), but wider than the SPA in above mentioned other similar studies. 8 The differences may be due to the different ethnic groups studied.…”

Section: Discussionsupporting

confidence: 88%

Measurement of Subpubic Angle in Radiograph

et al. 2020

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Introduction: Subpubic angle, an important parameter used for sex determination in the pelvis, is the angle between two inferior pubic rami below the symphysis pubis. This study was carried out to determine the subpubic angle among the individuals referred for pelvic and KUB radiographs in the department of Radiology and Imaging, Tribhuvan University, Teaching Hospital.Methods: Prospective cross-sectional study was done on 120 individuals. The subpubic angle was measured by drawing two tangent lines on the inferior border of the pubic rami. The subpubic angle of both sexes was measured. An independent sample t-test for equality of means was used to determine the difference between the two sexes regarding the subpubic angle. The correlation between the subpubic angle and the age of subjects was obtained using Pearson Correlation Coefficients in males and females.Results: The range of the subpubic angle in male was 82o to 122° and the mean was 104.72°±10.47°. In females, the range was 96o to 159° and the mean was 137.15°±11.92° with a significant statistical difference from the angle in male (p<0.05). The subpubic angle was not significantly correlated with age in males (r=0.029, p=0.824) whereas, in females, the correlation of subpubic angle with age was significant (r=-0.303, p=0.019).Conclusion: The mean subpubic angle was significantly wider in females than in males in this study. We found a weak negative correlation between subpubic angle and age in females whereas in the male there was no correlation between age and subpubic angle.

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Section: Discussionsupporting

confidence: 88%

Measurement of Subpubic Angle in Radiograph

et al. 2020

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“…While there might be some discrepancy due to the study's design focusing on the adult female population in southwestern Iran, both studies yielded nearly identical measurements (14). This finding closely aligns with previously reported subpubic angle measurements (21)(22)(23). The wide variation in pubic arch angles observed in our study could have implications for sling placement and tensioning.…”

Section: Discussionsupporting

confidence: 86%

Anthropometric Study Via Digital X-Rays of the Obturator Foramen in Surgical Treatment of Urine Incontinence in the South-Western Adult Female Population of Iran

Ahmadifard,

Kogani,

Karimi

et al. 2024

Compr Health Biomed Stud

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Background: The trans-obturator tape (TOT) procedure is an efficient treatment option that provides support for the urethra in cases of stress urinary incontinence (SUI). Objectives: This research aimed to ascertain the accuracy of anthropometric parameters of the female pubic arch and the obturator foramen (OF) and their application in clinical anatomy. Methods: In this cross-sectional observational research conducted from October 2021 to September 2022, the morphometric characteristics of the pubic arch and the OF were measured on digital pelvic radiographs of 500 adult women from southwestern Iran. They were grouped into three age categories, namely, 18 - 34, 35 - 50, and more than 50 years old, and compared within and between the groups. Results: Significant differences were observed in computed parameter indices of the OF and pubic arch based on age. Parameters such as inter-obturator foramina distance, pubic symphysis length, pubic ramus width, and length increased significantly with age (P ≤ 0.05). Additionally, as women's ages increased, their subpubic angle decreased significantly (P = 0.001). However, other parameters, such as the OF area and the anterior urogenital triangle area, did not show a significant increase with age (P ≥ 0.05). These findings indicate that anatomical pelvic measurements change significantly with age in women. Conclusions: The present study revealed a wide range of variant bony pelvic anatomy in southwestern Iranian adult women, distinct from norms in other groups. Our findings could be utilized in surgical approaches and the production of trans-obturator kits by companies.

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“…Khodeary, et al and Kayastha P, et al also found higher SPA (102.31±12.50° and 104.72±10.47° respectively) than the most accepted cut-off value in male. 15,16 Mohad Ali SH, et al discovered SPA in female was 87.4±6.5° using a threedimensional computed tomography model of the pelvis, which is less than the widely accepted cut-off value in female. 3 Hence, the sex determination using the cut-off value of 90° is not always accurate and may not be applicable to all the population.…”

Section: Iscussionmentioning

confidence: 96%

“…Similar findings were observed in several other studies. 1,15,16 The subpubic concavity does not fully develop in females until they reach the age of 20 years. 8 As a result, there is no sexual dimorphism in the preadolescent pelvis.…”

Section: Iscussionmentioning

confidence: 99%

Mean Subpubic Angle of Patients Visiting Department of Radiodiagnosis of a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Pandit

Adhikari

Upadhyay³

2022

J Nepal Med Assoc

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Introduction: The subpubic angle in the pelvis is most often used to estimate the sex with a higher degree of accuracy. Despite the anthropological and obstetric importance of the subpubic angle, only a few studies exist in the Nepalese population. The objective of this study was to determine the mean subpubic angle of the patient visiting the department of radiodiagnosis of tertiary care hospital. Methods: This was a descriptive cross-sectional study comprising 332 pelvic digital radiographs of the patients visiting the department of radiodiagnosis of a tertiary care center from March to August, 2021. Ethical approval was taken from the Institutional Review Committee at College of Medical Sciences (Reference number: COMSTH-IRC/2021-62). Convenience sampling method was done. Demographic data like age and sex were noted. In the radiograph, the subpubic angle was measured using the program Digimizer Image Analysis Software. The collected data were analysed using the Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with mean and standard deviation for continuous data. Results: Among 332 pelvic radiographs studied, the mean subpubic angle was found to be 120.42±22.27° (118.02-122.81 at 95% Confidence Interval). The subpubic angle in females was 137.96±12.47° and that in males was 101.10±12.56°. Conclusions: Our findings are similar to those of other studies, with a minor variation. The subpubic angle was comparatively higher in females than males in the present study. The findings of this study may be of interest to forensic scientists and obstetricians.

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Determination Of Subpubic Angle In Egyptian Population

Cited by 4 publications

References 15 publications

Measurement of Subpubic Angle in Radiograph

Measurement of Subpubic Angle in Radiograph

Anthropometric Study Via Digital X-Rays of the Obturator Foramen in Surgical Treatment of Urine Incontinence in the South-Western Adult Female Population of Iran

Mean Subpubic Angle of Patients Visiting Department of Radiodiagnosis of a Tertiary Care Hospital: A Descriptive Cross-sectional Study

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