Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report
Background: Pelvic trauma is commonly associated with high-velocity force-like road traffic accidents and carries high rates of complications, including diastasis of the symphysis pubis. The diastasis of symphysis pubis prevalence rate has been reported at 13-16%. This case report aimed to review th...
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Universitas Airlangga
2023-04-01
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| Series: | Journal Orthopaedi and Traumatology Surabaya |
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| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/37440 |
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| author | Trisna Angga Basudana Mifta Nurmalasari Austana Nur Hafizh Muhammad Hanun Mahyuddin |
| author_facet | Trisna Angga Basudana Mifta Nurmalasari Austana Nur Hafizh Muhammad Hanun Mahyuddin |
| author_sort | Trisna Angga Basudana |
| collection | DOAJ |
| description | Background: Pelvic trauma is commonly associated with high-velocity force-like road traffic accidents and carries high rates of complications, including diastasis of the symphysis pubis. The diastasis of symphysis pubis prevalence rate has been reported at 13-16%. This case report aimed to review the effectiveness of conservative pelvic binders in diastasis of the symphysis pubis in the emergency setting.
Case Report: An eighteen years old female patient was referred to the Emergency Unit because of a motorcycle accident. She revealed worsening abdominal pain, unable to move both legs and swollen and bruised vulva. The patient is fully conscious, and the vital sign revealed low blood pressure of 89/56 mmHg. The AP pelvis X-ray showed diastasis symphysis pubis marked 3.87 cm wide. Immediate resuscitation was performed, stabilizing the pelvis using a conservative pelvic binder. X-ray evaluation showed surprisingly successful results as the symphyseal gap reduced to 0.66 cm.
Discussion: In this case, the symphyseal gap was >2.5 cm, indicating surgical treatment. Recent studies suggest conservative therapy has good outcomes in the symphyseal gap >2.5 cm. Considering the patient's young age and no comorbidities, it was assumed that the healing process would occur quickly, so conservative treatment was chosen first. However, further evaluation is still needed due to the limitation of the follow-up from the patient.
Conclusion: Conservative treatment using a pelvic binder called gurita is effective for emergencies with inadequate medical equipment. |
| format | Article |
| id | doaj-art-b1a76f5441fb4ab6a4badfa5177e22f0 |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-b1a76f5441fb4ab6a4badfa5177e22f02025-02-12T07:28:05ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422023-04-01121233010.20473/joints.v12i1.2023.23-3035509Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case ReportTrisna Angga Basudana0https://orcid.org/0000-0002-4721-1409Mifta Nurmalasari1https://orcid.org/0000-0002-3978-6771Austana Nur Hafizh2https://orcid.org/0000-0002-7252-0094Muhammad Hanun Mahyuddin3https://orcid.org/0000-0001-5304-6107Department of Orthopedic and Traumatology, ‘Aisyiyah General Hospital, Ponorogo, Indonesia‘Aisyiyah General Hospital, Ponorogo, Indonesia‘Aisyiyah General Hospital, Ponorogo, IndonesiaFaculty of Medicine, Airlangga University, Surabaya, IndonesiaBackground: Pelvic trauma is commonly associated with high-velocity force-like road traffic accidents and carries high rates of complications, including diastasis of the symphysis pubis. The diastasis of symphysis pubis prevalence rate has been reported at 13-16%. This case report aimed to review the effectiveness of conservative pelvic binders in diastasis of the symphysis pubis in the emergency setting. Case Report: An eighteen years old female patient was referred to the Emergency Unit because of a motorcycle accident. She revealed worsening abdominal pain, unable to move both legs and swollen and bruised vulva. The patient is fully conscious, and the vital sign revealed low blood pressure of 89/56 mmHg. The AP pelvis X-ray showed diastasis symphysis pubis marked 3.87 cm wide. Immediate resuscitation was performed, stabilizing the pelvis using a conservative pelvic binder. X-ray evaluation showed surprisingly successful results as the symphyseal gap reduced to 0.66 cm. Discussion: In this case, the symphyseal gap was >2.5 cm, indicating surgical treatment. Recent studies suggest conservative therapy has good outcomes in the symphyseal gap >2.5 cm. Considering the patient's young age and no comorbidities, it was assumed that the healing process would occur quickly, so conservative treatment was chosen first. However, further evaluation is still needed due to the limitation of the follow-up from the patient. Conclusion: Conservative treatment using a pelvic binder called gurita is effective for emergencies with inadequate medical equipment.https://e-journal.unair.ac.id/JOINTS/article/view/37440diastasissymphysis pubispelvic binderconservativeroad traffic accident |
| spellingShingle | Trisna Angga Basudana Mifta Nurmalasari Austana Nur Hafizh Muhammad Hanun Mahyuddin Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report Journal Orthopaedi and Traumatology Surabaya diastasis symphysis pubis pelvic binder conservative road traffic accident |
| title | Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report |
| title_full | Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report |
| title_fullStr | Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report |
| title_full_unstemmed | Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report |
| title_short | Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report |
| title_sort | diastasis of symphysis pubis in 18 years old female patient treated with conservative pelvic binder case report |
| topic | diastasis symphysis pubis pelvic binder conservative road traffic accident |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/37440 |
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