Araştırma Makalesi
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Pelvik Halka Ağrısı ile İnterpubik Mesafe Arasındaki İlişkinin İncelenmesi

Yıl 2021, Cilt: 5 Sayı: 1, 71 - 77, 30.04.2021
https://doi.org/10.34084/bshr.888138

Öz

Amaç: Rutin gebe muayenesinde kullanılan USG nin pelvik halka ağrısı tanısında fayda sağlayabileceğini göstermektir.
Materyal -Metod: Çalışmamızda rutin gebelik kontrolü yapılan 287 hastanın normal muayenelerine ek olarak usg ile interpubik mesafe genişliği ölçüldü. Pelvik halka ağrısı tanısı netleştiirlmesi açısından Ortopedi ve Trav. Uzmanı tarafından gerekli klinik testleri yapıldı. Sonuçlar not edildi ve değerlendirmelerde IBM SPSS Statistics 20 programı kullanıldı ve istatistiksel anlamlılık sınırı olarak p<0,05 kabul edildi.
Bulgular: Pelvik halka ağrısı bulunan hastalarda interpubik mesafe genişliğinin arttığı , pelvik halka ağrısı olmayan hastalarda interpubik mesafenin 10mm üzerine çıkmadığı gözlendi.
Sonuç: Çalışmamızda pelvik halka ağrısı ile interpubik mesafe genişlemsi arasında anlamlı ilişki saptanmış olup; pelvik halka ağrısı tanısında usg ile interpubik mesafe ölçümü yararlı olduğu kanaatindeyiz.

Kaynakça

  • Sumilo D, Kurinczuk JJ, Redshaw ME, Gray R. Prevalence and impact of disability in women who had recently given birth in the UK. BMC Pregnancy Childbirth 2012;12:31. https://doi.org/10.1186/1471-2393-12-31
  • Paul JA, van Dijk FJ, Frings-Dresen MH. Work load and musculoskeletal complaints during pregnancy. Scand J Work Environ Health 1994;20:153–9. doi:10.5271/sjweh.1414
  • Clinton SC, Newell A, Downey PA, Ferreira K. Pelvic girdle pain in the antepartum population.J Womens Health Phys Therap2017;41(2):102–25.
  • Vleeming A, Albert HB, Östgaard HC, Sturesson B, Stuge B. European guidelines on the diagnosis and treatment of pelvic girdle pain.Eur Spine J 2018;17(6):794-819. doi: 10.1007/s00586-008-0602-4
  • Bhardwaj A, Nagandla K. Musculoskeletal symptoms and orthopaedic complications in pregnancy: pathophysiology, diagnostic approaches and modern management. Postgrad Med J 2014;90(1066):450-60. doi: 10.1136/ postgradmedj-2013-132377.
  • Kanakaris NK, Roberts CS, Giannoudis PV. Pregnancy-related pelvic girdle pain: an update. BMC Med 2011;9:15. doi: 10.1186/1741-7015-9-15.
  • Pierce H, Homer CSE, Dahlen HG, King J. Pregnancy-related lumbopelvic pain: listening to Australian women. Nurs Res Pract 2012;2012:387428. doi: 10.1155/2012/387428.
  • Pennick, V, Liddle, SD.Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database of SystRev2013;(8):CD001139. doi:10.1002/14651858.cd001139.pub3
  • Walters C, West S, Nippita TA. Pelvic girdle pain in pregnancy. Aust J Gen Pract 2018;47(7):439-43. doi: 10.31128/AJGP-01-18-4467.
  • Björklund K, Bergström S, Lindgren PG, Ulmsten U. Ultrasonographic measurement of the symphysis pubis:a potential method of studying symphyseolysis in pregnancy. GynecolObstet Invest 1996;42(3):151–3. doi: 10.1159/000291932.
  • Albert H, Godskesen M,Westergaard J. Evaluation of clinical tests used in classification procedures in pregnancy-related pelvic joint pain. EurSpine J 2000;9(2):161-6. doi: 10.1007/s005860050228.
  • Kristiansson P,Svärdsudd K, von Schoultz B.Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J ObstetGynecol 1996;175(5):1342-7.doi:10.1016/s0002-9378(96)70052-2
  • MacLennan AH. The role of the hormone relaxin in human reproduction and pelvic girdle relaxation. Scand J RheumatolSuppl 1991;88:7-15.
  • Björklund K,Bergström S,Nordström ML,Ulmsten U. Symphyseal distention in relation to serum relaxin levels and pelvic pain in pregnancy. ActaObstetGynecolScand2000;79(4):269-75.doi:10.1080/j.1600-0412.2000.079004269.x.
  • Schoellner C, Szöke N,Siegburg K. Pregnancy-associated symphysis damage from the orthopedic viewpoint--studies of changes of the pubic symphysis in pregnancy, labor and post partum. Z OrthopIhreGrenzgeb2001;139(5):458-62. doi: 10.1055/s-2001-17991.
  • BahlmannF,Merz E,Macchiella D,Weber G. Ultrasound imaging of the symphysis fissure for evaluating damage to the symphysis in pregnancy and postpartum. Z GeburtshilfePerinatol1993;197(1):27-30.

Investigation Of The Relationship Between Pelvic Ring Pain And Interpubic Distance

Yıl 2021, Cilt: 5 Sayı: 1, 71 - 77, 30.04.2021
https://doi.org/10.34084/bshr.888138

Öz

ABSTRACT
Aims: To show that USG, which is used in routine pregnancy examination, can be useful in the diagnosis of pelvic ring pain.
Methods: In our study, the interpubic distance width was measured with USG in 287 patients who had routine pregnancy control in addition to their normal examinations. Necessary clinical tests were performed by orthopedics and traumatology specialist in order to clarify the diagnosis of pelvic ring pain. The results were noted and IBM SPSS Statistics 20 program was used for evaluations and p <0.05 was accepted as the statistical significance limit.
Result: it was observed that the width of the interpubic distance increased in patients with pelvic ring pain, and the interpubic distance did not exceed 10 mm in patients without pelvic ring pain.
Conclusion: In our study, a significant relationship was found between pelvic ring pain and interpubic distance widening. We believe that it is useful to measure the interpubic distance with USG in the diagnosis of pelvic ring pain.

Kaynakça

  • Sumilo D, Kurinczuk JJ, Redshaw ME, Gray R. Prevalence and impact of disability in women who had recently given birth in the UK. BMC Pregnancy Childbirth 2012;12:31. https://doi.org/10.1186/1471-2393-12-31
  • Paul JA, van Dijk FJ, Frings-Dresen MH. Work load and musculoskeletal complaints during pregnancy. Scand J Work Environ Health 1994;20:153–9. doi:10.5271/sjweh.1414
  • Clinton SC, Newell A, Downey PA, Ferreira K. Pelvic girdle pain in the antepartum population.J Womens Health Phys Therap2017;41(2):102–25.
  • Vleeming A, Albert HB, Östgaard HC, Sturesson B, Stuge B. European guidelines on the diagnosis and treatment of pelvic girdle pain.Eur Spine J 2018;17(6):794-819. doi: 10.1007/s00586-008-0602-4
  • Bhardwaj A, Nagandla K. Musculoskeletal symptoms and orthopaedic complications in pregnancy: pathophysiology, diagnostic approaches and modern management. Postgrad Med J 2014;90(1066):450-60. doi: 10.1136/ postgradmedj-2013-132377.
  • Kanakaris NK, Roberts CS, Giannoudis PV. Pregnancy-related pelvic girdle pain: an update. BMC Med 2011;9:15. doi: 10.1186/1741-7015-9-15.
  • Pierce H, Homer CSE, Dahlen HG, King J. Pregnancy-related lumbopelvic pain: listening to Australian women. Nurs Res Pract 2012;2012:387428. doi: 10.1155/2012/387428.
  • Pennick, V, Liddle, SD.Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database of SystRev2013;(8):CD001139. doi:10.1002/14651858.cd001139.pub3
  • Walters C, West S, Nippita TA. Pelvic girdle pain in pregnancy. Aust J Gen Pract 2018;47(7):439-43. doi: 10.31128/AJGP-01-18-4467.
  • Björklund K, Bergström S, Lindgren PG, Ulmsten U. Ultrasonographic measurement of the symphysis pubis:a potential method of studying symphyseolysis in pregnancy. GynecolObstet Invest 1996;42(3):151–3. doi: 10.1159/000291932.
  • Albert H, Godskesen M,Westergaard J. Evaluation of clinical tests used in classification procedures in pregnancy-related pelvic joint pain. EurSpine J 2000;9(2):161-6. doi: 10.1007/s005860050228.
  • Kristiansson P,Svärdsudd K, von Schoultz B.Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J ObstetGynecol 1996;175(5):1342-7.doi:10.1016/s0002-9378(96)70052-2
  • MacLennan AH. The role of the hormone relaxin in human reproduction and pelvic girdle relaxation. Scand J RheumatolSuppl 1991;88:7-15.
  • Björklund K,Bergström S,Nordström ML,Ulmsten U. Symphyseal distention in relation to serum relaxin levels and pelvic pain in pregnancy. ActaObstetGynecolScand2000;79(4):269-75.doi:10.1080/j.1600-0412.2000.079004269.x.
  • Schoellner C, Szöke N,Siegburg K. Pregnancy-associated symphysis damage from the orthopedic viewpoint--studies of changes of the pubic symphysis in pregnancy, labor and post partum. Z OrthopIhreGrenzgeb2001;139(5):458-62. doi: 10.1055/s-2001-17991.
  • BahlmannF,Merz E,Macchiella D,Weber G. Ultrasound imaging of the symphysis fissure for evaluating damage to the symphysis in pregnancy and postpartum. Z GeburtshilfePerinatol1993;197(1):27-30.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Elif Terzi 0000-0001-9809-0494

Özgür Kaya 0000-0003-2033-9020

Yayımlanma Tarihi 30 Nisan 2021
Kabul Tarihi 31 Mart 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 5 Sayı: 1

Kaynak Göster

AMA Terzi E, Kaya Ö. Investigation Of The Relationship Between Pelvic Ring Pain And Interpubic Distance. J Biotechnol and Strategic Health Res. Nisan 2021;5(1):71-77. doi:10.34084/bshr.888138
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