Hip Pelvis.  2014 Mar;26(1):45-49. 10.5371/hp.2014.26.1.45.

Dyspareunia Caused by Pelvis Malunion

Affiliations
  • 1Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Daejeon, Korea. weonkim@hotmail.com

Abstract

In unstable pelvic ring injury, if there is damage to both the anterior and posterior, both anterior and posterior fixation will be needed in order to stabilze the pelvic ring. A female patient complained of dyspareunia due to malunion and additional bone bridge at the inferior ramus of the pelvis. She should have undergone both anterior and posterior fixation, but had undergone anterior fixation only. We report on a patient who was treated successfully with resection of additional bone bridge, scar tissue and adhesive band around the vagina.

Keyword

Pelvic ring injury; Pelvis fracture; Sexual dysfunction

MeSH Terms

Adhesives
Cicatrix
Dyspareunia*
Female
Humans
Pelvis*
Vagina
Adhesives

Reference

1. Gänsslen A, Pohlemann T, Paul C, Lobenhoffer P, Tscherne H. Epidemiology of pelvic ring injuries. Injury. 1996; 27:Suppl 1. S-A13–S-A20.
Article
2. Simonian PT, Routt ML Jr. Biomechanics of pelvic fixation. Orthop Clin North Am. 1997; 28:351–367.
Article
3. Dujardin FH, Roussignol X, Hossenbaccus M, Thomine JM. Experimental study of the sacroiliac joint micromotion in pelvic disruption. J Orthop Trauma. 2002; 16:99–103.
Article
4. Papadopoulos IN, Kanakaris N, Bonovas S, et al. Auditing 655 fatalities with pelvic fractures by autopsy as a basis to evaluate trauma care. J Am Coll Surg. 2006; 203:30–43.
Article
5. Matewski D, Szymkowiak E, Bilinski P. Analysis of management of patients with multiple injuries of the locomotor system. Int Orthop. 2008; 32:753–758.
Article
6. Riska EB, von Bonsdorf H, Hakkinen S, Jaroma H, Kiviluoto O, Paavilainen T. External fixation of unstable pelvic fractures. Int Orthop. 1979; 3:183–188.
Article
7. Schweitzer G. Open reduction and internal fixation of vertical shear pelvic fractures. J Trauma. 1987; 27:1308.
8. Kellam JF, McMurtry RY, Paley D, Tile M. The unstable pelvic fracture. Operative treatment. Orthop Clin North Am. 1987; 18:25–41.
9. Berg EE, Chebuhar C, Bell RM. Pelvic trauma imaging: a blinded comparison of computed tomography and roentgenograms. J Trauma. 1996; 41:994–998.
10. Vallier HA, Cureton BA, Schubeck D. Pregnancy outcomes after pelvic ring injury. J Orthop Trauma. 2012; 26:302–307.
Article
Full Text Links
  • HP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2025 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr