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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.

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|January 20, 2022
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Summary
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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.

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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.