Postpartum pubic symphysis diastasis is a relatively rare entity. It is usually associated with cephalopelvic disproportion, macrosomia, multiparity, precipitate labor, difficult labor, difficult forceps delivery, any other pelvic bone pathologies, and underlying connective tissue disorders. Management is typically conservative in most cases, but surgical intervention is sometimes required in cases where pubic symphysis is >4 cm and not responding to conservative management. Case with more than 4 cm of pubic diastasis is usually associated with disruption of the symphyseal ligament, sacroiliac joint capsule, and ligaments. Surgical management promotes early ambulation with good functional recovery and decreases the chances of symphyseal sclerosis, functional disability, and chronic pain. Four female patients with postpartum pubic diastasis of more than 7 cm with an age ranging from 20 to 30 years underwent open reduction and internal fixation using plates and screws.In all four cases, the patient got early ambulation and full functional recovery without any pain, discomfort, and disability at 3 months of follow up. Although conservative management has been advocated for postpartum pubic diastasis typically, surgical intervention should be sought for significant pubic diastasis (more than 4 cm) to promote early full functional recovery and avoid chronic pain, functional disability, and symphyseal sclerosis.
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http://dx.doi.org/10.4103/aam.aam_46_24 | DOI Listing |
Cureus
November 2024
Orthopaedic Department, General Hospital of Ioannina G. Hatzikosta, Ioannina, GRC.
The purpose of this study was to demonstrate a rare case of pelvic ring injury in a healthy man without a history of high energy damage. A 43-year-old man presented to the emergency with local pain in pubic symphysis and difficulty walking after horseback riding. The patient did not report any fall or injury during this recreational activity, and apart from tachycardia, he was hemodynamically stable with normal blood pressure.
View Article and Find Full Text PDFJ Pediatr Orthop
December 2024
Paediatric Urology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
J Nepal Health Res Counc
October 2024
Department of Obstetrics and Gynecology, Kirtipur Hospital, Kathmandu, Nepal.
Cureus
October 2024
Department of Anesthesiology and Perioperative Medicine, Riverside University Health System Medical Center, Moreno Valley, USA.
Pubic symphysis diastasis (PSD) is the widening of the pubic symphysis which can occur during the peripartum period. PSD commonly presents as pelvic pain with associated neuropathies rarely reported. In this report we describe the unique presentation of PSD with associated motor and sensory deficits in a 19-year-old postpartum patient.
View Article and Find Full Text PDFAnn Afr Med
November 2024
Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
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