Kubitz R L, Goodlin R C
South Med J. 1986 May;79(5):578-80. doi: 10.1097/00007611-198605000-00014.
We present seven cases of pubic symphyseal discomfort in pregnancy or parturition. These patients were unable to walk and had other signs and symptoms similar to those of osteitis pubis. We differentiate this condition from classical osteitis pubis by the lack of a prolonged course, symptoms, and clinical findings rather than radiologic criteria. We propose that in patients with symphyseal pain and tenderness, difficulty with ambulation, and a clinical course of less than three weeks, symptomatic symphyseal separation should be considered the diagnosis.
我们报告了7例妊娠或分娩期间耻骨联合不适的病例。这些患者无法行走，并有其他与耻骨炎相似的体征和症状。我们将这种情况与典型的耻骨炎相鉴别，依据是病程短、症状及临床发现，而非影像学标准。我们建议，对于有耻骨联合疼痛和压痛、行走困难且病程少于三周的患者，应考虑诊断为症状性耻骨联合分离。
