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Rehabilitation Practice and Science

Translated Title

使用骨盆電腦斷層掃描暨三度空間骨型重組作爲恥骨聯合輕微錯位之臨床診斷依據：病例報告

Abstract

The patients who suffered from symphysis pubis injury would normally be treated in two clinical departments. Symphysis pubis diastasis is an uncommon intrapartum complication which may occur in women with some associative factors such as macrosomic fetus, small pelvis, and rapid descent of presenting part during spontaneous vaginal delivery. The automotive side impacts are a leading cause of injuries to the pubic symphysis which might be combined with major pelvic trauma. Other factors that might contribute to this type of injury is general fall events, although very rare, which would induce minor symphysis pubis injury. Recently, we presented with a case of mild misalignment of symphysis pubis following multiple falls within several months. The patient suffered impact on her lateral pelvis during every fall. She felt hypogastric discomfort and difficulty in walking, resulting in that the condition of the patient gradually deteriotated. On examination, there were hypermobility of the right sacroiliac joint, anterior rotation of the right pelvis, and severe local tenderness on symphysis pubis. The misalignment of symphysis pubis could not be shown clearly by pelvic X-ray. However the injury could clearly be seen with CT scan with 3-D reconstruction.

Language

Traditional Chinese

First Page

275

Last Page

279

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