Pubic symphysis diastasis: imaging and clinical features

2006 ◽  
Vol 59 (3) ◽  
pp. 127-129 ◽  
Author(s):  
Samet Topuz ◽  
Ilknur Citil ◽  
Ahmet Cem Iyibozkurt ◽  
Memduh Dursun ◽  
Suleyman Engin Akhan ◽  
...  
Keyword(s):  
Clinical Features ◽  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis

Clinical case of pubic symphysis diastasis in a pregnant woman with atypical clinical features

2020 ◽  
Vol 69 (3) ◽  
pp. 57-62
Author(s):  
Marina N. Mochalova ◽  
Viktor A. Mudrov ◽  
Anastasia Yu. Alexeyeva
Keyword(s):  
Pregnant Woman ◽  
Acute Abdomen ◽  
Clinical Features ◽  
Severe Pain ◽  
Clinical Case ◽  
Sagittal Plane ◽  
Specific Treatment ◽  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis

This article presents a clinical case of pubic symphysis diastasis in a pregnant woman with atypical clinical features. From 24 weeks of gestation, the patient noticed an intermittent low back aching pain radiated to posterior surface of the right thigh. The pain was regarded as a manifestation of lumbar osteochondrosis, and the patient did not receive specific treatment. At 39-40 weeks of pregnancy, the woman complained of severe pain in the left iliac region that appeared while lying on the left side or turning in bed. The differential diagnosis included acute abdomen and pubic symphysis diastasis. During diagnostic research, clinical features of acute abdomen were not found. The diagnostic tests such as tenderness palpation of pubic symphysis, P4 test, Patricks test, modified Trendelenburgs test, and Mennells test were positive. According to ultrasound, the width of the pubic symphysis was 8.9 mm, with a 2 mm deviation of pubic ramus relative to the sagittal plane, ill-defined margin and inhomogeneous structure of the symphysis due to hypoechogenic inclusions with a total area of about 50%. Thus, the patient was diagnosed with pubic symphysis diastasis of the 2nd degree. Given the severe pain syndrome and a high risk of pubic symphysis fracture during labor, this case required surgical delivery. The postoperative period elapsed without complication.

scholarly journals PUBIC SYMPHYSIS DIASTASIS IN PREGNANCY AND DELIVERY (REVIEW)

2018 ◽  
Vol 24 (3) ◽  
pp. 145-156
Author(s):  
A. L. Petrushin ◽  
A. V. Pryaluchina
Keyword(s):  
Internal Fixation ◽  
Treatment Options ◽  
Pubic Symphysis ◽  
Lower Limbs ◽  
Sacroiliac Joints ◽  
Pubic Symphysis Diastasis ◽  
Partial Load ◽  
Short Period ◽  
Pregnancy And Delivery ◽  
Symphysis Diastasis

Purpose of the study— to generalize and arrange the data published in scientific literature and to present currentviews on epidemiology, diagnostics and treatment options for pubic symphysis diastasis during pregnancy and delivery. Semeiotic separation wider than 10 mm is considered pubic symphysis diastasis during pregnancy and delivery. Diastasis above 14-25 mm might be associated with ruptures of sacroiliac joints. Frequency of such pathology is reported in the range from 0,03 to 2,8%. Key risk factors of this pathology include multiparity and repeated labor. Symptoms of pubic separation include pain and signs of pelvic instability manifesting immediately after delivery or within a short period of time after the delivery. AP roentgenography is the principal diagnostics method however lately ultrasound exam is done more frequently. Conservative option prevails in treatment of pubic symphysis diastasis. Surgical procedures are recommended in case of separation above 30-50 mm, ruptures of sacroiliac joints, open lesions, failed conservative treatment and urological dysfunction. In such cases preferred option is the internal fixation by plate and screws. Some authors use external fixation. Late-term outcomes of both methods do not demonstrate significant differences. Pain regress after the surgery is observed within 3 weeks to 6 months postoperatively, walking with partial load is restored in 5-14 days, full load on the lower limbs is possible 6 months postoperatively. Indications for removal of implants after internal fixation are not clearly defined. Following surgical treatment of pubic symphysis diastasis the majority of authors incline to subsequent operative delivery.

scholarly journals Pubic Symphysis Diastasis: A Case Series and Literature Review

2017 ◽  
Vol 32 (6) ◽  
pp. 510-514 ◽  
Author(s):  
Jaya Jethra Chawla ◽  
Devendra Arora ◽  
Namrita Sandhu ◽  
Megha Jain ◽  
Anju Kumari
Keyword(s):  
Literature Review ◽  
Case Series ◽  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis

Transpubic herniation of the bladder: a sequel of traumatic pubic symphysis diastasis

Hernia ◽  
1999 ◽  
Vol 3 (2) ◽  
pp. 85-88
Author(s):  
J. L. Grolleau ◽  
N. Vazzoler ◽  
J. P. Chavoin
Keyword(s):  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis

Herniation of the bladder after recurrent pubic symphysis diastasis

2010 ◽  
Vol 20 (6) ◽  
pp. 497-500
Author(s):  
William Tabib ◽  
Délphine Mitilian ◽  
François Pauthier ◽  
Eva Ghiles
Keyword(s):  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis
Sign in / Sign up

Export Citation Format

Share Document