Severe postpartum disruption of the pelvic ring: Report of two cases and review of the literature

Patient Safety in Surgery

Volumn 5, Issue 1, 2011, Pages 1-5

  Hou, Zhiyong ^a   Riehl, John T ^b   Smith, Wade R ^b   Strohecker, Kent A ^b   Maloney, Patrick J ^b  

^a HEBEI MEDICAL UNIVERSITY   (China)

^b GEISINGER MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CASE REPORT; HUMAN;

EID: 84957557362     PISSN: None     EISSN: 17549493     Source Type: Journal    
DOI: 10.1186/1754-9493-5-2     Document Type: Article

References (19)

1. Boland BF: Rupture of the symphysis pubis articulation during delivery. Surg Gynecol Obstet 1933, 57:517-522.
2. Scriven MW, Jones DA, McKnight L: The importance of pubic pain following childbirth: a clinical and ultrasonographic study of diastasis of the pubic symphysis. J R Soc Med 1995, 88:28-30.
3. Pennig D, Gladbach B, Majchrowski W: Disruption of the pelvic ring during spontaneous childbirth. A case report. J Bone Joint Surg Br 1997, 79:438-440.
4. Blum M, Orovano N: Open rupture of the symphysis pubis during spontaneous delivery. Acta Obstet Gynecol Scand 1976, 55:77-79.
5. Pauwels F: Beitrag zur Klarung der Beanspruchung des Beckens, insbesondere der Beckenfugen. In Gesammelte Abhandlungen zur funktionellen Anatomie des Bewegungsapparates. Edited by: Pauwels F. Berlin, etc: Springer-Verlag; 1965:183-196.
6. Putschar WG: The structure of the human symphysis pubis with special consideration of parturition and its sequelae. Am J Phys Anthrop 1976, 45:589-594.
7. Kharrazi FD, Rodgers WB, Kennedy JG, Lhowe DW: Parturition-induced pelvic dislocation: a report of four cases. J Orthop Trauma 1997, 11:277-281.
8. Hagen R: Pelvic girdle relaxation from an orthopaedic point of view. Acta Orthop Scand 1974, 45:550-563.
9. Dhar S, Anderton JM: Rupture of the symphysis pubis during labor. Clin Orthop Relat Res 1992, 283:252-257.
10. Cappiello GA, Oliver BC: Rupture of the symphysis pubis caused by forceful and excessive abduction of the thighs with labor epidural anesthesia. J Florida Med Assoc 1995, 82:261-263.
11. Young J: Relaxation of the pelvic joints in pregnancy: pelvic arthropathy of pregnancy. J Obstet Gynecol Br Emp 1940, 47:493-524.
12. Rommens PM: Internal fixation in postpartum symphysis pubis rupture: report of three cases. J Orthop Trauma 1997, 11:273-276.
13. Hierholzer C, Ali A, Toro-Arbelaez JB, Suk M, Helfet DL: Traumatic disruption of pubis symphysis with accompanying posterior pelvic injury after natural childbirth. Am J Orthop 2007, 36:E167-70.
14. Matta JM, Saucedo T: Internal fixation of pelvic ring fractures. Clin Orthop Relat Res 1989, 242:83-97.
15. Moed BR, Kellam JF, McLaren A, Tile M: Internal fixation for the injured pelvic ring. In Fractures of the Pelvis and Acetabulum. Edited by: Tile M, Helfet DL, Kellam JF. Baltimore, MD: Williams 2003:217-293.
16. Tile M, Pennal GF: Pelvic disruption: principles of management. Clin Orthop Relat Res 1980, 151:56-64.
17. Varga E, Hearn T, Powell J, Tile M: Effects of method of internal fixation of symphyseal disruptions on stability of the pelvic ring. Injury 1995, 26:75-80.
18. Schopfer A, Hearn TC, DiAngelo D, Tile M: Biomechanical comparison of fixation methods of vertically unstable pelvic ring disruptions. Paper presented at: 59th Meeting of the American Academy of Orthopaedic Surgeons Washington, DC; 1992.
19. Hearn TC, Willet K, Schopfer A, DiAngelo D, Powell JN, Tile M: Mechanical response of the intact, disrupted and internally fixed pelvic ring to stance related loading. Surgery of the Pelvis and Acetabulum: An International Consensus, Final Program and Syllabus Pittsburgh, PA; 1992, 86.