Orthopedic issues in pregnancy

Micah Warren Smith, Peter S. Marcus, Lawrence Wurtz

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Pregnancy taxes the musculoskeletal system. The enlarging gravid uterus alters the maternal body's center of gravity, mechanically stressing the axial and pelvic systems, and compounds the stresses that hormone level fluctuations and fluid retention exert. While the pregnant woman is prone to many musculoskeletal injuries, most can be controlled conservatively, but some require emergent surgical intervention. This article describes pregnancy-related orthopedic problems and related conditions, and discusses their pathogenesis, signs, symptoms, physical examination findings, diagnostic work-up, and interventions. Topics specifically covered include the following: pregnancy-related posterior pelvic pain (PRPPP), lumbar disc herniation with cauda equine syndrome, low back pain, kyphoscoliosis and scoliosis issues for anesthesia during pregnancy and delivery, pubic symphysis rupture, transient osteoporosis versus osteonecrosis, management of pregnancy after hip replacement surgery, and carpal tunnel syndrome. Specific musculoskeletal systems discussed in this article include the spine, pelvis, hip joint, and wrist. TARGET AUDIENCE: Obstetricians & Gynecologists, Family Physicians LEARNING OBJECTIVES: After completion of this article, the reader should be able to recall that there are many changes which occur during pregnancy that create a strain on the musculoskeletal system, explain that there are differences in the signs and symptoms in the presentation and differentiation of each of the maladies, and state that treatments vary depending on the acuteness and impairments created by the musculoskeletal disorder.

Original languageEnglish
Pages (from-to)103-111
Number of pages9
JournalObstetrical and Gynecological Survey
Volume63
Issue number2
DOIs
StatePublished - Feb 2008

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Orthopedics
Pregnancy
Musculoskeletal System
Signs and Symptoms
Pubic Symphysis
Carpal Tunnel Syndrome
Pelvic Pain
Osteonecrosis
Taxes
Hip Joint
Family Physicians
Gravitation
Scoliosis
Low Back Pain
Wrist
Pelvis
Horses
Osteoporosis
Physical Examination
Uterus

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Orthopedic issues in pregnancy. / Smith, Micah Warren; Marcus, Peter S.; Wurtz, Lawrence.

In: Obstetrical and Gynecological Survey, Vol. 63, No. 2, 02.2008, p. 103-111.

Research output: Contribution to journalArticle

Smith, Micah Warren ; Marcus, Peter S. ; Wurtz, Lawrence. / Orthopedic issues in pregnancy. In: Obstetrical and Gynecological Survey. 2008 ; Vol. 63, No. 2. pp. 103-111.
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