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Pelvic Ring Disruption During Childbirth: A Case Report.
Christopher L Hoehmann1, William Doss1, Saila DeTore1,2
1Department of Orthopaedic Surgery, Nassau University Medical Center, East Meadow, New York.
JBJS Case Connector
|January 20, 2022
Summary
Peripartum pelvic ring disruption requires surgical intervention when conservative treatment fails. This case demonstrates successful management and future pregnancy considerations following internal fixation for pelvic fractures during childbirth.
Area of Science:
- Obstetrics and Gynecology
- Orthopedic Surgery
- Trauma Management
Background:
- Pelvic ring disruption during childbirth is rare, often resulting from hormonal laxity and fetal head pressure.
- This case addresses the management of a peripartum pelvic ring injury.
- It explores the impact of prior pelvic ring injuries on subsequent pregnancies.
Observation:
- A patient experienced a peripartum pelvic ring disruption.
- Initial conservative management proved ineffective.
- Surgical intervention, specifically open reduction with internal fixation, was ultimately necessary.
Findings:
- Open reduction with internal fixation successfully managed the peripartum pelvic ring disruption.
- The patient later had a successful pregnancy, delivering via elective cesarean section.
- This case underscores the importance of comprehensive care for pregnancy-related pelvic ring injuries.
Implications:
- Highlights the need for surgical consideration in severe peripartum pelvic ring disruptions.
- Informs management strategies for future pregnancies in women with a history of pelvic ring injury.
- Contributes to understanding the long-term outcomes and care continuum for these rare injuries.
