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Bhutta MA et al. – 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, the authors 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.


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