title: Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth.
abstract: 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.
authors.affiliation: Department of Orthopedics, Adana Numune Education and Research Hospital, 1358 Adana, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Çıçek
authors.affiliation: Department of Obstetrics and Gynecology, Atatürk Education Research Hospital, Ankara, Turkey.
authors.forename: H Levent
authors.initials: HL
authors.lastname: Keskın
authors.affiliation: Department of Orthopedics, Adana Numune Education and Research Hospital, 1358 Adana, Turkey.
authors.forename: Ümit
authors.initials: Ü
authors.lastname: Tuhanıoğlu
authors.affiliation: Department of Orthopedics, Atatürk Education Research Hospital, Ankara, Turkey.
authors.forename: Kasım
authors.initials: K
authors.lastname: Kiliçarslan
authors.affiliation: Department of Orthopedics, Adana Numune Education and Research Hospital, 1358 Adana, Turkey.
authors.forename: Hasan Ulaş
authors.initials: HU
authors.lastname: Oğur