2002
DOI: 10.1002/jmri.10073
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MRI of the pelvic ring joints postpartum: Normal and pathological findings

Abstract: Purpose:To assess the joints of the pelvic ring postpartum and to discern normal postpartum findings and pathologic lesions using MRI. Materials and Methods:MR images were obtained in six women with severe pelvic ring pain after delivery, in 13 women after uncomplicated vaginal delivery, and in 11 healthy, nulliparous non-pregnant volunteers. Distances of the pubic gap, signal intensities of the pubic cartilage, and signal changes of the pelvic ring bones were determined and evaluated.Results: Both postpartum … Show more

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Cited by 65 publications
(51 citation statements)
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“…These results indicate that pregnancy-related physiological changes of the pelvic girdle may cause changes that can be visualised with MRI. Only few previous MRI studies have investigated pregnancy-related pathoanatomical changes at the SIJs [42,43], and further investigation of the cause of SIJ findings and their relationship to the female gender and pregnancy is needed before conclusions can be drawn.…”
Section: Discussionmentioning
confidence: 97%
“…These results indicate that pregnancy-related physiological changes of the pelvic girdle may cause changes that can be visualised with MRI. Only few previous MRI studies have investigated pregnancy-related pathoanatomical changes at the SIJs [42,43], and further investigation of the cause of SIJ findings and their relationship to the female gender and pregnancy is needed before conclusions can be drawn.…”
Section: Discussionmentioning
confidence: 97%
“…Offensichtlich stehen diese Prozesse unter dem Einfluss des Schwangerschaftshormons Relaxin [26 -28]. MR-tomografische postpartale Veränderungen der Symphysis pubica wurden bis heute in zwei Arbeiten systematisch untersucht [31,32]. Kurzel et al [31] berichteten über zwei Patientinnen mit klinisch eindeutiger Symphysenruptur.…”
Section: Discussionunclassified
“…In die Studie von Wurdinger et al [32] wurden neben 13 asymptomatischen postpartalen Frauen auch sechs mit schweren Beckenschmerzen eingeschlossen, von denen eine die typischen klinischen Zeichen einer Symphysenruptur aufwies. Die ent- …”
Section: Discussionunclassified
“…During labor, factors contributing to dilation of the birth canal might result in the total or partial breakage of the pubic symphysis, defined as a diastasis of 10 mm or more and associated symptomatology [1][2][3][4]. This pathology is called symphysis pubis diastasis (SPD), and epidemiological studies estimate a 2.8 percent incidence of SPD in women during and post labor [5].…”
Section: Introductionmentioning
confidence: 99%
“…Women often have pain and inflammation in the pubic symphysis, which may radiate into the lumbar and thigh areas, mainly in the medial regions. Moving, bearing a load, or raising a leg may often increase the symptoms and cause instability and incapacity while walking or standing [2][3][4][6][7].…”
Section: Introductionmentioning
confidence: 99%