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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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Autores principales: Çıçek, Hakan, Keskın, H. Levent, Tuhanıoğlu, Ümit, Kiliçarslan, Kasım, Oğur, Hasan Ulaş
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4452851/
https://www.ncbi.nlm.nih.gov/pubmed/26078900
http://dx.doi.org/10.1155/2015/812132
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author Çıçek, Hakan
Keskın, H. Levent
Tuhanıoğlu, Ümit
Kiliçarslan, Kasım
Oğur, Hasan Ulaş
author_facet Çıçek, Hakan
Keskın, H. Levent
Tuhanıoğlu, Ümit
Kiliçarslan, Kasım
Oğur, Hasan Ulaş
author_sort Çıçek, Hakan
collection PubMed
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.
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spelling pubmed-44528512015-06-15 Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth Çıçek, Hakan Keskın, H. Levent Tuhanıoğlu, Ümit Kiliçarslan, Kasım Oğur, Hasan Ulaş Case Rep Orthop Case Report 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. Hindawi Publishing Corporation 2015 2015-05-20 /pmc/articles/PMC4452851/ /pubmed/26078900 http://dx.doi.org/10.1155/2015/812132 Text en Copyright © 2015 Hakan Çıçek et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Çıçek, Hakan
Keskın, H. Levent
Tuhanıoğlu, Ümit
Kiliçarslan, Kasım
Oğur, Hasan Ulaş
Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4452851/
https://www.ncbi.nlm.nih.gov/pubmed/26078900
http://dx.doi.org/10.1155/2015/812132
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