Universität zu Köln

Herren, C., Dienstknecht, T., Siewe, J., Kobbe, P., Pape, H. C. and Hildebrand, F. (2016). Chronic instability of the pubic symphysis. Etiology, diagnostics and treatment management. Unfallchirurg, 119 (5). S. 433 - 445. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

The most frequent causes of chronic instability of the pubic symphysis are sports-related continual overload and traumatic symphyseal injuries. Acute injury of the pubic symphysis may be the result of external forces acting on the anterior pelvic ring or the result of internal forces, such as those arising during parturition. The postpartum form of instability following a complication-free birth is reversible and usually returns to normal within a few months through strengthening of the pelvic floor muscles. Residual instability of the pubis symphysis is on the whole a rare complication. Although established therapy options for acute symphyseal separation can be found in the literature, there are only a few case reports on chronic symphyseal instability. There are no guidelines on standardized therapy options. This review article examines the etiology, clinical findings, diagnostic techniques and management options for patients suffering from chronic symphyseal instability.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Herren, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dienstknecht, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Siewe, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kobbe, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pape, H. C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hildebrand, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-276720
DOI:	10.1007/s00113-016-0166-4
Journal or Publication Title:	Unfallchirurg
Volume:	119
Number:	5
Page Range:	S. 433 - 445
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-044X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OSTEITIS PUBIS; ATHLETIC PUBALGIA; PELVIC PAIN; GROIN PAIN Multiple languages Emergency Medicine; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27672