Challenging Case of Pubic Symphyseal Plating for Pubic Diastasis in a Term Pregnant Patient

Background:The pubic symphysis is classified as a non-synovial joint that normally has a radiographic separation measuring between 4 and 5 millimetres between the superior pubic rami on both the right and left sides.The gap between 2 and 3 mm is widened by the physiological and hormonal changes that occur during pregnancy, leading to a condition called physiological pubic symphysis diastasis.Abnormal widening of the gap leads to pathological conditions of immense clinical importance.Methods: Pubic symphysis diastasis (PSD) is radiologically diagnosed when a joint widening of more than 10 mm is seen, which is indicative of pathological separation.Separation of more than 25 mm raises suspicion for ligamentous disruption and potential public rupture.PSD is typically discovered as a result of high-energy trauma or obstetric trauma and is most frequently related to anterior-posterior compression (APC) injury, as per the Young and Burgess Classification system.Results: Unless well managed, PSD during or post-pregnancy can result in persistent recovery, chronic pain, and disability.The degree of joint widening correlates with the extent of ligamentous injury and the requirement for definitive management, ranging from conservative care to surgery.Conclusion: PSD is a complex pregnancy or injury that needs early detection and proper care.Detection of the severity of diastasis is crucial for the delivery of treatment and enhancement of the mother.