Skeletal tuberculosis, pelvic contraction, and parturition.
Obliquely contracted pelvis was observed in association with tuberculosis and dystocia (difficult parturition) in four out of 762 childbearing women in a Southeast Asian population. It is hypothesized that the pelvic contracture results from tuberculosis of the sacro-iliac joint with destruction of the sacral ala. This gross morphologic deformity, as observed in living populations, may be a useful marker for skeletal tuberculosis in prehistoric and historic populations as well. The occurrence of obliquely contracted pelvis with consequent dystocia as a specific complication of systemic tuberculosis may have direct implications for differential reproductivity.
D000885:Anthropology, Physical; D044466:Asian People; D005075:Biological Evolution; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000209:etiology*; D010384:Pelvic Bones / Q000033:anatomy & histology / Q000503:physiopathology*; D010679:Philippines; D011247:Pregnancy; D014394:Tuberculosis, Osteoarticular / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*