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The Journal of Bone and Joint Surgery 79:113-7 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Entrapment of the Bladder in an Acetabular Fracture. A Case Report*

MICHAEL D. MCKEE, M.D., F.R.C.S.(C){dagger} and JAMES P. WADDELL, M.D., F.R.C.S.(C){dagger}, TORONTO, ONTARIO, CANADA

Investigation performed at the Division of Orthopaedics, Department of Surgery, St. Michael's Hospital and the University of Toronto, Toronto


   Introduction
 
The reported prevalence of injury of the urinary tract among patients who have sustained a pelvic fracture has ranged from approximately 10 per cent (five of forty-seven fractures) to 15 per cent (seventeen of 117 fractures)1-4,8,9. Certain types of pelvic fractures, including those resulting from lateral compression and vertical shear injuries, have been associated with intraperitoneal and extraperitoneal rupture of the bladder as well as urethral injury4,6,7,15. The mechanism of injury is usually direct laceration by fracture fragments or stretching and tearing of the wall of the bladder during deformation of the pelvic ring at the time of the injury2,3,8. Retrograde cystography and urethrography are the radiographic procedures that usually are used to confirm the diagnosis of an injury of the urinary tract1,9,15. Despite the high prevalence of injury of the urinary tract associated with pelvic trauma, entrapment of the bladder or other viscera at the . . . [Full Text of this Article]


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