026.7 Subluxation of symphysis pubis in pregnancy, childbirth, or puerperium
O26.71 Sublux of symphysis (pubis) in pregnancy
O26.711 Sublux of symphysis (pubis) in pregnancy, first trimester
O26.712 Sublux of symphysis (pubis) in pregnancy, second trimester
O26.713 Sublux of symphysis (pubis) in pregnancy, third trimester
S33.4 Traumatic rupture of symphysis pubis
071.6 Obstetric damage to pelvic joints and ligaments
PREFERRED PRACTICE PATTERNS1
4B: Impaired Posture
4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction
4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation
4G: Impaired Joint Mobility, Muscle Performance, and Range of Motion Associated with Fracture
A 32-year-old woman who was 24 weeks pregnant was performing Pilates exercises with a trainer using the reformer apparatus. During an exercise, she had one leg kneeling on the reformer and the other leg off of the reformer. She was pushing the leg on the reformer behind her against resistance in a lunge movement. After the exercise session, she started having difficulty walking. She tried to open a heavy door in an office building and had sharp severe pain in her groin. She fell to the ground and could not get up to walk.
Potential causes of trochanteric, pubic, and thigh pain. (From Dutton D. Dutton’s Orthopaedic Examination, Evaluation, and Intervention. 3rd ed. www.accessphysiotherapy.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
This AP radiograph in a 20-year-old male following trauma reveals diastasis of the pubic symphysis. (From Malone TR, Hazle C, Grey ML. Imaging in Rehabilitation. http://accessphysiotherapy.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
Pubic symphysis pain
Pain in the groin
Pain in the perineum
Pain often increases with weight bearing, sitting, sidelying, transitional movements, and palpation of pubic symphysis
Pain may radiate to the anterior or upper thigh
Pubic symphysis joint capable of undergoing anatomical changes during pregnancy2
Consider other pelvic girdle joints including sacroiliac (SI) joint involvement, sacrococcygeal joint
Rule out injury to hip including labral tear
Chronic condition may result in osteitis pubis: Arthritis of the ...
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