Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth
| Autor: | Hakan Çıçek, H. Levent Keskın, Ümit Tuhanıoğlu, Kasım Kiliçarslan, Hasan Ulaş Oğur |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Case Reports in Orthopedics, Vol 2015 (2015) |
| Druh dokumentu: | article |
| ISSN: | 2090-6749 2090-6757 |
| DOI: | 10.1155/2015/812132 |
| Popis: | Background. Puerperal diastasis of the pubic symphysis is a rare intrapartum complication. This report presents the case of a woman who experienced synchronous pubic symphysis and sacroiliac joint separations induced by vaginal delivery. Case. A 32-year-old woman (gravida 2, parity 2) with an uncomplicated prenatal course developed acute-onset anterior pubic pain during vaginal delivery. The pain persisted postpartum and was exacerbated by leg movement. Physical and radiographic examinations showed a pubic symphyseal separation of 2.4 cm, accompanied by a 10 mm disruption of the left sacroiliac joint. The patient was treated conservatively with pain-relief medication; bed rest, mostly in the left lateral decubitus position; closed reduction and application of a pelvic binder; use of a walker; and physical therapy. Conclusion. The patient responded to conservative management. She was essentially pain-free and regained movement and ambulation by 12 weeks postpartum. |
| Databáze: | Directory of Open Access Journals |
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