Diagnostic criteria for symphysis pubis separation

The specific clinical manifestations are pain in the pubic symphysis, with obvious tenderness, inability to bear weight on one side of the lower limb, fatigue in walking, difficulty in lifting the lower limb, and soreness in the waist and buttocks.

Subacute ischial tuberosity separation is common in injuries, and isolated traumatic ischial tuberosity separation is rare. The disease is mostly caused by strong vaginal surgery, such as difficult forceps, full traction belt, etc.; but it can also occur naturally during childbirth.

1. Subacute pelvic fractures, pubic fractures, tendon lacerations, etc. caused by trauma, traffic accidents, etc.

2. During the delivery process, because the fetus is too large, the labor force is good, the uterine contraction is too strong, the fetal head position drops sharply, such as emergency delivery; or in the difficult situation of breech presentation, excessive force is applied, causing tendon rupture and subacute separation of the ischial tuberosity.

Pelvic fracture is a serious trauma, which is mostly caused by immediate violent pelvic compression. Common in car accidents and collapses. In battle, it is firearm injuries. Among pelvic fractures, more than half are accompanied by complications or multiple injuries. The most serious are traumatic hemorrhagic shock and combined injuries of pelvic organs. If not properly treated, the mortality rate is very high.

Basic techniques for separating the ischial tuberosity

1. The patient lies on his side and is treated with the method of rubbing on the waist and buttocks, while massaging the Ba, Huantiao, Dachangshu, Guanyuanshu points and extending the lower limbs. The technique should be gentle.

2. The patient lies flat on his back with one and both lower limbs bent at the knee and hip. The practitioner holds the kneecap with one hand and the knee joint with the other hand to perform hip rocking, and then traction is applied to both lower limbs for 1 to 2 minutes.

3. Let the patient lie in front of the bed, lean back slightly, press the right hand on the pubic symphysis, have an assistant support his back from behind, and another assistant stand in front of the patient, facing the patient, hold the patient's ankles with both hands, rotate the thighs outward, adduct and internally rotate the calves, and keep the heels close to the buttocks. The practitioner sits on the left side of the patient, with his right hipbone against the patient's left hip, his left hand pressing tightly on the patient's other hipbone, his right hand holding the patient's left wrist, and placing it on top of the patient's right hand. The practitioner instructs the assistant holding the ankle to quickly straighten the legs forward. In addition, the patient uses his right hand to tap and press the right hand on the ischial tuberosity, while the practitioner pulls and presses the patient's right hip bone with his left hand to bring it inward. Repeat the above techniques 2 to 3 times. Mild cases can be cured in one treatment, while severe cases require treatment every 3 days.

Ischial tuberosity separation is often accompanied by sacroiliac joint subluxation. Depending on the forward or backward direction of the dislocation, the lumbar lateral and backward extension methods can be used, and the local rubbing method can be performed.

Common problems with sciatic tuberosity separation

Some people should keep warm and prevent freezing, and avoid trauma and sexual intercourse to facilitate rehabilitation treatment. During the treatment period, the waist and lower limbs are not suitable for extensive movements.