Pubic Symphysis Diastasis: A Case Series and Literature Review
| Autor: | Megha Jain, Devendra Arora, Namrita Sandhu, Anju Kumari, Jaya Chawla |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Symphysis medicine.medical_treatment lcsh:Medicine Pubic symphysis Case Report Conservative Treatment 03 medical and health sciences External fixation 0302 clinical medicine Postpartum Pregnancy 0502 economics and business medicine Internal fixation Symphysis Pubis Diastasis Sacroiliac joint 030219 obstetrics & reproductive medicine Pubic Symphysis Diastasis business.industry 05 social sciences lcsh:R General Medicine Chiropractic Surgery Radiography medicine.anatomical_structure 050211 marketing business Postpartum period |
| Zdroj: | Oman Medical Journal, Vol 32, Iss 6, Pp 510-514 (2017) |
| Popis: | Separation of pubic symphysis during delivery is a rare complication resulting in considerable and prolonged morbidity for parturient women. The usual presentation is that of something giving way in the region of the symphysis pubis sometimes with an audible crack at the time of delivery. Unbearable pain on moving from side-to-side and on performing any weight-bearing activity (such as walking or climbing stairs) precludes ambulation in the immediate postpartum period. This could be accompanied by disruption of the sacroiliac joint, hemorrhage, or urine incontinence in severe cases. Radiography, ultrasound, and magnetic resonance imaging are the diagnostic modalities that aid confirmation of diagnosis. The magnitude of separation does not correlate well with the severity of symptoms. Treatment modalities range from conservative management (including analgesics, pelvic binders, transcutaneous nerve stimulation) and chiropractic management to orthopedic interventions such as external fixation or open reduction and internal fixation. Since postpartum pain is frequently dismissed as attributable to labor and childbirth, the diagnosis of pubic symphysis diastasis is often delayed and sometimes missed altogether. Since there is no consensus in the scientific literature on the definition, etiopathogenesis, and management of this rare complication, we attempted to review the literature on the subject and present a series of two cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|