Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Jan 20;12(1).
doi: 10.2106/JBJS.CC.21.00491.

Pelvic Ring Disruption During Childbirth: A Case Report

Affiliations
Case Reports

Pelvic Ring Disruption During Childbirth: A Case Report

Christopher L Hoehmann et al. JBJS Case Connect. .

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.

PubMed Disclaimer

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

    1. 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.
    1. 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.
    1. 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.
    1. 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.
    1. Kanakaris NK, Roberts CS, Giannoudis PV. Pregnancy-related pelvic girdle pain: an update. BMC Med.. 2011;9(1):15.

Publication types

LinkOut - more resources