Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth
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 uncomp...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/812132 |
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| author | Hakan Çıçek H. Levent Keskın Ümit Tuhanıoğlu Kasım Kiliçarslan Hasan Ulaş Oğur |
| author_facet | Hakan Çıçek H. Levent Keskın Ümit Tuhanıoğlu Kasım Kiliçarslan Hasan Ulaş Oğur |
| author_sort | Hakan Çıçek |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-917d5e7c6cc74b7c8ff544b51f69b474 |
| institution | DOAJ |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-917d5e7c6cc74b7c8ff544b51f69b4742025-08-20T03:19:42ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/812132812132Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal BirthHakan Çıçek0H. Levent Keskın1Ümit Tuhanıoğlu2Kasım Kiliçarslan3Hasan Ulaş Oğur4Department of Orthopedics, Adana Numune Education and Research Hospital, 1358 Adana, TurkeyDepartment of Obstetrics and Gynecology, Atatürk Education Research Hospital, Ankara, TurkeyDepartment of Orthopedics, Adana Numune Education and Research Hospital, 1358 Adana, TurkeyDepartment of Orthopedics, Atatürk Education Research Hospital, Ankara, TurkeyDepartment of Orthopedics, Adana Numune Education and Research Hospital, 1358 Adana, TurkeyBackground. 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.http://dx.doi.org/10.1155/2015/812132 |
| spellingShingle | Hakan Çıçek H. Levent Keskın Ümit Tuhanıoğlu Kasım Kiliçarslan Hasan Ulaş Oğur Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth Case Reports in Orthopedics |
| title | Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth |
| title_full | Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth |
| title_fullStr | Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth |
| title_full_unstemmed | Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth |
| title_short | Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth |
| title_sort | simultaneous disruption of the pubic symphysis and sacroiliac joint during vaginal birth |
| url | http://dx.doi.org/10.1155/2015/812132 |
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