Management of pelvic injuries in pregnancy

Louis F. Amorosa, Jennifer Harms Amorosa, David S. Wellman, Dean G. Lorich, David L. Helfet

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

Pelvic fractures in pregnant women are usually high-energy injuries associated with risk of mortality to both mother and fetus. The mother's life always takes priority in the acute setting as it offers the best chance of survival to both the mother and the fetus. Indications for operative intervention of acute pubic symphysis rupture depend on presence of an open disruption, amount of displacement, and degree of disability. Chronic symphyseal instability related to pregnancy is a challenging problem and the first line of treatment is nonoperative care. A previous pelvic fracture is not a contraindication by itself to vaginal delivery.

Original languageEnglish (US)
Pages (from-to)301-315
Number of pages15
JournalOrthopedic Clinics of North America
Volume44
Issue number3
DOIs
Publication statusPublished - Jul 1 2013

    Fingerprint

Keywords

  • Acetabular fracture
  • Pelvic fracture
  • Pelvic instability
  • Pregnancy
  • Pubic symphysis rupture

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Amorosa, L. F., Amorosa, J. H., Wellman, D. S., Lorich, D. G., & Helfet, D. L. (2013). Management of pelvic injuries in pregnancy. Orthopedic Clinics of North America, 44(3), 301-315. https://doi.org/10.1016/j.ocl.2013.03.005