Bone Pathology Database

Teaching Version

 

Text in Italics is general (instructional) information

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2nd image
X ray just after delivery
Third image
One month post delivery
On the X ray on the previous page, wide diastasis of the symphesis pubis can be seen. The patient was treated conservatively with bedrest in the lateral decubitus position for two weeks. She was then given a pelvic band (seen on X ray below. By three months post delivery the gait was normal and the area pain free.

 

The incidence of symphysis pubis separation is reported to be between 1:600 and 1:3400 obstetric patients. Treatment should generally be conservative and symptomatic. Prognosis for recovery is excellent. Recurrent separation of the symphysis pubis could occur during subsequent deliveries but generally is no worse than the first occurrence

Characteristic symptoms of symphyseal separation include suprapubic pain and tenderness with radiation to the back or legs, difficulty ambulating, and occasionally, bladder dysfunction.

Associations with multiparity, macrosomia, pathological joint loosening, and increased force placed on the pelvic ring have been suggested as possible etiologies. Conservative therapy, including bedrest, pelvic binders, ambulation devices, and mild analgesics usually result in a complete recovery within 4 to 6 weeks.

 





Record 100