Pelvic ring injury and traction associated bladder trauma
Authors:
Robert Grill+ 1 5; Valér Džupa+ 2 5; Václav Báča+ 3 5; Michal Otčenášek+ 4 5
Authors‘ workplace:
Department of Urology rd Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Praha
1; Urologická klinika 3. LF UK a FNKV, Praha
1; Department of Orthopaedics and Traumatology rd Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague
2; Ortopedicko-traumatologická klinika 3. LF UK a FNKV, Praha
2; Institute of Anatomy, 3rd Faculty of Medicine, Charles University, Prague
3; Ústav anatomie 3. LF UK, Praha
3; Institute of Mother and Child Care, Prague
4; Ústav pro péči o matku a dítě, Praha
4; Centre for Integrated Study of the Pelvis, 3rd Faculty of Medicine, Prague
5; Centrum pro integrované studium pánve 3. LF UK, Praha
5
Published in:
Úraz chir. 17., 2009, č.1
Overview
Authors describe cases of two patients with urinary bladder injury in type B pelvic fracture which were caused by external-rotation trauma mechanism. Authors assume traction injury of the urinary bladder. Based on literature sources they discussed anatomical substratum of this type of injury. Exact definition of the anatomical structure is very difficult even if there is a possibility of traction by pubovesical ligament presented in literature.
Key words:
pelvic injury, associated bladder trauma, traction injury, lig. pubovesicale.
Sources
1. Avey, G., Blackmore, C.C., Wessells, H. et al. Radiographic and clinical predictors of bladder rupture in blunt trauma patients with pelvic fracture. Acad Radiol. 13, 2006, 573–579.
2. Buse, S., Lynch, T.H., Martinez-Pineiro, L. et al. Verletzungen der ableiteden Harnwege bei polytraumatisierten Patienten. Unfallchirurg. 108, 2005, 821–828.
3. CALABIA DE DIEGO, A., MARTINEZ-PINEIRO, L., LOPES RASINES, G. et al. Asociacion de los traumatismos pelvicos noc las roturas de uretra. Actas Urol Esp. 23, 1999, 411–416.
4. Catonné, Y., Delattre, O., Rouvillain, J.L. et al. Chevauchement symphysaire avec incarcération rétro-pubienne d´un hémi-bassin. Rev Chir Orthop Reparatrice Appar Mot. 82, 1996, 458–461.
5. Hayes, E.P., Lang, G.J. Pelvic ring injury with urologic trauma: a report of bladder extravasation into the hip joint. Am J Orthop., 29, 2000, 885–888.
6. Rout, M.L., Simonian P.T., Defalco, A.J. et al. Internal fixation in pelvic fractures and primary repairs of associated genitourinary disruptions: a team approach. J Trauma. 40, 1996, 784-790.
7. Tauber, M., Joos, H., Karpik, S. et al. Urogenitale Begleitverletzungen bei Beckenring-fracturen. Unfallchirurg. 110, 2007, 116–123.
8. Watnik, N.F, Coburn, M., Goldberger, M. Urologic injuries in pelvic ring disruptions. Clin Orthop. 329, 1996, 37–45.
9. WEIGNER, K. Topografická anatomie pánve. Praha: Vesmír, 1936, s. 1124.
10. Otčenášek, M., Krofta, L., Grill, R. et al. Porodní poranění puborektálního svalu: sledování pomocí 3D ultrazvuku. Čes Gynek. 71, 2006, 318–322.
11. Otčenášek, M., Krofta, L., Báča, et al. Bilateral avulsion of the puborectal muscle: MRI based 3-D reconstruction and comparison with a mo-del of healthy nulliparous women. Ultrasound Obstet Gynecol. 29, 2007, 692–696.
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Surgery Traumatology Trauma surgeryArticle was published in
Trauma Surgery
2009 Issue 1
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