In the presented case studies, the author summarizes his own experience with postpartum symphysiolysis. Based on this experience and a thorough analysis of the literature, the author subsequently outlines the possibilities of its diagnosis and treatment. Postpartum symphysiolysis is a rare injury that is only minimally mentioned in the literature. It is a multifactorial disease and due to the fact that it stands at the border of gynaecology, orthopaedics and traumatology, or anaesthesiology, it lacks clear and uniform recommendations in its diagnosis and treatment. In the last two decades, the number of published cases has increased significantly. This phenomenon may also be due to the fact that historically pelvic pain during pregnancy and childbirth was considered natural and not given much importance. Moreover, mild forms of diastasis often escape attention. The basic problem is the lack of systematic diagnostics on which subsequent recommendations can be based. An ultrasound examination of the pubic symphysis is a suitable method for diagnosis, ideally included in prenatal screening. The treatment is determined depending on the size of the symphyseal separation and the clinical difficulties of the patient. In mild forms, conservative therapy is the method of choice. In more severe forms, where both anterior and posterior pelvic injuries are combined, the choice of therapy remains controversial. One of the methods suitable for deciding on the therapeutic approach is skiascopic examination with pelvic residual stability test. If we proceed to the surgical solution, it turns out that all available methods show good results, whether it is external fixation, minimally invasive percutaneous fixation or open plate osteosynthesis.

Centre of Traumatology and Orthopaedics regional Hospital Liberec a s