This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kotwal, P. P.
Right arrow Articles by Whitehill, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kotwal, P. P.
Right arrow Articles by Whitehill, R.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery 80:452 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

P. P. Kotwal, M.S.(Orth), Ravi Mittal, M.S.(Orth), David L. Kowalk, M.D., Philip S. Perdue, M.D., F. John Bourgeois, M.D. and Richard Whitehill, M.D.

TO THE EDITOR:

We read with interest "Disruption of the Symphysis Pubis during Vaginal Delivery. A Case Report" (78-A: 1746–1748, Nov. 1996), by Kowalk et al. However, we disagree with some points. First, this is not the second case of its type as Kowalk et al. stated. Numerous cases of similar injuries have been reported2-6. Second, contrary to their claim, we found that the same ligaments are damaged in obstetric and traumatic disruptions of the symphysis pubis, with the posterior sacroiliac ligament remaining intact3,8. The method of treatment, therefore, should be the same for both types of injury. Third, Kowalk et al. claimed that the spontaneous tightening of ligaments in the postpartum period contributes to the stability of the pelvis and that the patient can be mobilized as . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?