JBJS, May 1, 2005, Volume 87, Issue 5

Persistent Bladder Entrapment Following Acetabular Fracture with Subsequent Vesical Injury During Total Hip Arthroplasty

Alexandre Nehme, MD Ghassan Maalouf, MD Daniel Oakes, MD Imad Ghantous, MD Robert T. Trousdale, MD
Hip

Most urological injuries encountered by orthopaedic surgeons are associated with pelvic trauma. Acute injuries to the bladder, prostate, and urethra may occur in association with 13.5% to 46.6% of pelvic fractures1-3. Bladder ruptures account for the majority of these injuries4 and typically occur in association with high-energy trauma, such as motor-vehicle accidents, falls, industrial accidents, or abdominal blows5,6. While bladder rupture is much more common, three cases of acute bladder entrapment after pelvic fracture have been reported in the English-language literature4,7,8.


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