title: Intrapartum Pubic Symphysis Disruption.
abstract: During pregnancy, high progesterone and relaxin levels produce physiological ligament relaxation on the pelvis. Therefore, moderate pubic symphysis and sacroiliac joints relaxing provide birth canal widening, thereby facilitating vaginal delivery. Sometimes, functional pain or pelvic instability may occur during pregnancy or puerperium, which is defined as symptomatic pelvic girdle relaxation. In rare cases, a pubic symphysis disruption can occur during the labor, causing severe pain and functional limitations. The early recognition of this injury is crucial to prevent complications and improve clinical and functional outcomes. This study reports an acute symphyseal disruption resulting from childbirth in a primiparous patient who underwent open reduction and internal fixation with plate and screws. After a 6 months follow-up, the patient presented no pain and satisfactory functional recovery.
authors.affiliation: Federal University of Minas Gerais, Hospital Risoleta Tolentino Neves, Belo Horizonte, MG, Brazil.
authors.forename: Res
authors.initials: R
authors.lastname: Pires
authors.affiliation: Fluminense Federal University, Niterói, RJ, Brazil.
authors.forename: P J
authors.initials: PJ
authors.lastname: Labronici
authors.affiliation: Miguel Couto Hospital, Rio de Janeiro, RJ, Brazil.
authors.forename: V
authors.initials: V
authors.lastname: Giordano
authors.affiliation: University of São Paulo, São Paulo, SP, Brazil.
authors.forename: K E
authors.initials: KE
authors.lastname: Kojima
authors.affiliation: University of São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: M
authors.initials: M
authors.lastname: Kfuri
authors.affiliation: Risoleta Tolentino Neves Hospital, Belo Horizonte, MG, Brazil.
authors.forename: M
authors.initials: M
authors.lastname: Barbisan
authors.affiliation: Federal University of São Paulo, São Paulo, SP, Brazil.
authors.forename: A
authors.initials: A
authors.lastname: Wajnsztejn
authors.affiliation: Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Map
authors.initials: M
authors.lastname: de Andrade
keywords: Pelvis; Pelvis fracture; Pregnancy; Pubic symphysis; Pubic symphysis diastasis