TY - JOUR ID - 4348 TI - Overlapped Pubic Symphysis; a Case Report and Review of the Literature JO - The Archives of Bone and Joint Surgery JA - ABJS LA - en SN - 2345-4644 AU - Afshar, Ahmadreza AU - Koushkzari, Mehdi AD - The Department of Orthopedics, Urmia University of Medical Sciences, Urmia, Iran AD - Lieutenant colonel, Military Hospital, Urmia, Iran Y1 - 2015 PY - 2015 VL - 3 IS - 3 SP - 212 EP - 216 KW - Locked pubic symphysis KW - Overlapped pubic symphysis KW - Pelvic fracture KW - Urethral Injury DO - 10.22038/abjs.2015.4348 N2 - Overlapped pubic symphysis is a rare but serious pelvic injury. This study presents a case of overlapped dislocation of the pubic symphysis. He was managed by closed reduction under general anesthesia. The patient had urethral transsection.At the latest follow up, seven months post injury; he was able to walk well without any pelvic pain. However, his urologic problems were continued. We also reviewed the literature and analyzed the data of the previous reports as well as the current case collectively. The two terms of “locked pubic symphysis” and “overlapped pubic symphysis”have been used synonymously in the literature. Overlapped pubic symphysis is commonly associated with fracture of the sacrum and urethral injury in the male patients. After closed or open reduction, if pelvic instability persists, it needs anterior and may posterior internal fixation to achieve a stable pelvis. UR - https://abjs.mums.ac.ir/article_4348.html L1 - https://abjs.mums.ac.ir/article_4348_337fd8dbee92f45c53243b82b21214bd.pdf ER -