Management of Postpartum Diastasis of the Pubic Symphysis.

Abstract:

:Conservative management is typically recommended for postpartum diastasis of the pubic symphysis, despite significant functional disability and chronic pain associated with this condition. With a reported incidence of 1:500, the authors describe diagnosis and management controversies with an additional review of relevant literature related to the management of this orthopedic condition. The case is of a 27-year-old woman diagnosed with 5.5-cm diastasis of the pubic symphysis after spontaneous vaginal delivery of a 5 lb 5 oz infant. She underwent early orthopedic surgical correction via open reduction and internal fixation. The patient achieved pain-free ambulation within 3 months of surgery, and returned to full activity at 6 months. Postpartum diastasis of the pubic symphysis is typically treated conservatively; however, the authors illustrate that early orthopedic consultation and intervention at diastasis greater than 5 cm may improve recovery and functional outcome.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Erickson D,Low J,Shumway J

doi

10.3928/01477447-20160307-02

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

e367-9

issue

2

eissn

0147-7447

issn

1938-2367

journal_volume

39

pub_type

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