Pelvic Ring Disruption During Childbirth: A Case Report
- PMID: 35050926
- DOI: 10.2106/JBJS.CC.21.00491
Pelvic Ring Disruption During Childbirth: A Case Report
Abstract
Case: We present the management of a peripartum pelvic ring disruption. Initial conservative treatment failed; ultimately, open reduction with internal fixation was required. Four years later, the patient gave birth to another child by elective cesarean delivery.
Conclusion: Pelvic ring fracture is a rare occurrence during childbirth. The mechanism involves hormonally mediated ligamentous laxity of the pelvis combined with the forceful movement of the fetal head. This case highlights the continuum of care from injury to treatment, and follow-up, demonstrates proper management of pregnancy-related pelvic ring injury, and explores the role of previous pelvic ring injury in a pregnant patient.
Copyright © 2022 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved.
Conflict of interest statement
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B735).
References
-
- Dehghan F, Haerian BS, Muniandy S, et al. The effect of relaxin on the musculoskeletal system. Scand J Med Sci Sports. 2013;24(4):e220-9.
-
- Hou Z, Riehl JT, Smith WR, Strohecker KA, Maloney PJ. Severe postpartum disruption of the pelvic ring: report of two cases and review of the literature. Patient Saf Surg. 2011;5(1):2.
-
- Wang Y, Wu X, Yang M, et al. Pregnancy-related pelvic ring disease and its treatment. Beijing Da Xue Xue Bao. 2015;47(2):368-72.
-
- Corso M, Grondin D, Weis C. Postpartum low back pain: it is not always what you think. Obstet Gynaecol Cases—Rev. 2016;3(3):1-5.
-
- Kanakaris NK, Roberts CS, Giannoudis PV. Pregnancy-related pelvic girdle pain: an update. BMC Med.. 2011;9(1):15.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
