Kojima KE

University of São Paulo, São Paulo, SP, Brazil

Publications

• Case Report   
  Intrapartum Pubic Symphysis Disruption
  Author(s): Pires RES*, Labronici PJ, Giordano V, Kojima KE, Kfuri M, Barbisan M, Wajnsztejn A and de Andrade MAP
  
  During pregnancy, high progesterone and relaxin levels produce physiological ligament relaxation on the pelvis. Therefore, moderate pubic symphysis and sacroiliac joints relaxing provide birth canal widening, thereby facilitating vaginal delivery. Sometimes, functional pain or pelvic instability may occur during pregnancy or puerperium, which is defined as symptomatic pelvic girdle relaxation. In rare cases, a pubic symphysis disruption can occur during the labor, causing severe pain and functional limitations. The early recognition of this injury is crucial to prevent complications and improve clinical and functional outcomes. This study reports an acute symphyseal disruption resulting from childbirth in a primiparous patient who underwent open reduction and internal fixation with plate and screws. After a 6 months followâÃ?Â?Ã?Â?up, the patient presented no pain and satisfacto.. Read More»