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Disruption of the Symphysis Pubis during Vaginal Delivery. A Case Report* by DAVID L. KOWALK, PHILIP S. PERDUE, F. JOHN BOURGEOIS, and RICHARD WHITEHILL.

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Presentation on theme: "Disruption of the Symphysis Pubis during Vaginal Delivery. A Case Report* by DAVID L. KOWALK, PHILIP S. PERDUE, F. JOHN BOURGEOIS, and RICHARD WHITEHILL."— Presentation transcript:

1 Disruption of the Symphysis Pubis during Vaginal Delivery. A Case Report* by DAVID L. KOWALK, PHILIP S. PERDUE, F. JOHN BOURGEOIS, and RICHARD WHITEHILL J Bone Joint Surg Am Volume 78(11):1746-8 November 1, 1996 ©1996 by The Journal of Bone and Joint Surgery, Inc.

2 Anteroposterior radiograph of the pelvis, made on the first day post partum, showing a 4.7- centimeter separation of the symphysis pubis and bilateral widening at the sacro-iliac joint. DAVID L. KOWALK et al. J Bone Joint Surg Am 1996;78:1746-8 ©1996 by The Journal of Bone and Joint Surgery, Inc.

3 Computerized tomographic scan, made on the second day post partum, showing bilateral widening at the sacro-iliac joint anteriorly. DAVID L. KOWALK et al. J Bone Joint Surg Am 1996;78:1746-8 ©1996 by The Journal of Bone and Joint Surgery, Inc.

4 Anteroposterior radiograph of the pelvis, made on the fourth day post partum, showing spontaneous reduction of the separation of the symphysis pubis to 2.6 centimeters. DAVID L. KOWALK et al. J Bone Joint Surg Am 1996;78:1746-8 ©1996 by The Journal of Bone and Joint Surgery, Inc.

5 Anteroposterior radiograph of the pelvis, made thirty-eight weeks post partum, showing reduction of the separation to 1.5 centimeters and local formation of callus. DAVID L. KOWALK et al. J Bone Joint Surg Am 1996;78:1746-8 ©1996 by The Journal of Bone and Joint Surgery, Inc.

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