ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Dynamic ultrasound guided assessment of pelvic ring injury measurement (PRIME) for traumatic symphysis diastasis.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAssessment of pelvic ring injuries in the pre-clinical and trauma bay setting represents a challenge for the treating trauma team. The objective of the present project was to conduct a pre-clinical trial to investigate the feasibility and accuracy of ultrasound (US) guided assessment of symphyseal diastasis, of cadavers with pelvic ring injuries.
methodsThis is a prospective, anatomical, interventional and radiological cadaveric laboratory investigation. Cadavers were prepared with a pelvic ring injury (symphyseal diastasis). Eleven trauma surgeons performed an ultrasound-guided assessment of the symphyseal diastasis. The intervention was performed in four formalin-fixes cadavers. One served as the control and the other were prepared to have a set of standardized symphysis diastasis. The diastasis was grouped into "below 2.5 cm" and "above 2.5 cm". Trauma surgeons were blinded to the symphysis diastasis and performed an ultrasound-guided assessment of the anterior pelvic ring. Sensitivity and specificity analyses were performed.
resultsThe ultrasound measure of the control provided a sensitivity of 0.73 (95%CI 0.39 TO 0.94). The sensitivity of the ultrasound measure increased with increasing diastasis of the symphysis (Group above 2.5 cm 0.82, 95%CI 0.48 to 0.98). The highest sensitivity was measured in the dynamic assessment of the symphysis closure (0.91, 95%CI 0.59 to 1.0). Specificity was lowest in Group below 2.5 (0.73, 95%CI 0.39 to 0.94).
conclusionUltrasound-guided assessment of symphyseal diastasis is feasible and shows high diagnostic accuracy, especially for diastasis > 2.5 cm and during dynamic evaluation. Sensitivity and predictive values improved with larger displacements, while detection of smaller diastasis remained limited. These findings support the potential use of ultrasound as a rapid, non-invasive tool in early pelvic trauma assessment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.