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Case Reports in Orthopedics
Volume 2015, Article ID 812132, 5 pages
Case Report

Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth

1Department of Orthopedics, Adana Numune Education and Research Hospital, 1358 Adana, Turkey
2Department of Obstetrics and Gynecology, Atatürk Education Research Hospital, Ankara, Turkey
3Department of Orthopedics, Atatürk Education Research Hospital, Ankara, Turkey

Received 19 January 2015; Accepted 20 April 2015

Academic Editor: Andreas Panagopoulos

Copyright © 2015 Hakan Çıçek et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Puerperal diastasis of the pubic symphysis is a rare intrapartum complication. This report presents the case of a woman who experienced synchronous pubic symphysis and sacroiliac joint separations induced by vaginal delivery. Case. A 32-year-old woman (gravida 2, parity 2) with an uncomplicated prenatal course developed acute-onset anterior pubic pain during vaginal delivery. The pain persisted postpartum and was exacerbated by leg movement. Physical and radiographic examinations showed a pubic symphyseal separation of 2.4 cm, accompanied by a 10 mm disruption of the left sacroiliac joint. The patient was treated conservatively with pain-relief medication; bed rest, mostly in the left lateral decubitus position; closed reduction and application of a pelvic binder; use of a walker; and physical therapy. Conclusion. The patient responded to conservative management. She was essentially pain-free and regained movement and ambulation by 12 weeks postpartum.