Nonunion fragility fracture of the pelvis with complication from bladder rupture: A case report

Research output: Contribution to journalArticle

Abstract

The incidence rate of bladder rupture associated with pelvic ring fractures is reported to be about 5–10%, mostly occurring at the time of injury. Fragility pelvic ring fractures are reported to increase fracture displacement or become nonunion if they are treated inadequately. Few case reports on bladder rupture associated with fragility pelvic ring fracture have been published. We report a rare case of delayed bladder rupture associated with a fragility fracture of the pelvis. A 65-year-old female felt right hip pain without sustaining any trauma. She was diagnosed with a right pubic rami fracture. However, her pain deteriorated, and a sacral fracture was identified one month later. She was prescribed teriparatide, but her pain worsened and she was referred to our hospital. She was diagnosed with fragility fracture of the pelvis (Rommens classification type IVb) and was treated operatively. During the surgery, her thin bladder wall, which was compressed by a displaced pubic fragment, was torn and repaired. This is the first report describing a fragility fracture of the pelvis associated with a bladder rupture. Our treatment led to a successful result.

Original languageEnglish
Article number100169
JournalTrauma Case Reports
Volume20
DOIs
Publication statusPublished - Apr 1 2019

Fingerprint

Pelvis
Rupture
Urinary Bladder
Pain
Teriparatide
Wounds and Injuries
Hip
Incidence
Therapeutics

Keywords

  • Bladder rupture
  • Fragility fracture of the pelvis (FFP)
  • Nonunion
  • Pelvic ring fracture

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine

Cite this

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title = "Nonunion fragility fracture of the pelvis with complication from bladder rupture: A case report",
abstract = "The incidence rate of bladder rupture associated with pelvic ring fractures is reported to be about 5–10{\%}, mostly occurring at the time of injury. Fragility pelvic ring fractures are reported to increase fracture displacement or become nonunion if they are treated inadequately. Few case reports on bladder rupture associated with fragility pelvic ring fracture have been published. We report a rare case of delayed bladder rupture associated with a fragility fracture of the pelvis. A 65-year-old female felt right hip pain without sustaining any trauma. She was diagnosed with a right pubic rami fracture. However, her pain deteriorated, and a sacral fracture was identified one month later. She was prescribed teriparatide, but her pain worsened and she was referred to our hospital. She was diagnosed with fragility fracture of the pelvis (Rommens classification type IVb) and was treated operatively. During the surgery, her thin bladder wall, which was compressed by a displaced pubic fragment, was torn and repaired. This is the first report describing a fragility fracture of the pelvis associated with a bladder rupture. Our treatment led to a successful result.",
keywords = "Bladder rupture, Fragility fracture of the pelvis (FFP), Nonunion, Pelvic ring fracture",
author = "Yasuaki Yamakawa and Tomoyuki Noda and Taichi Saitou and Kenta Saiga and Ryuuichi Nakahara and Yasunori Shimamura and Toshihumi Ozaki",
year = "2019",
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T1 - Nonunion fragility fracture of the pelvis with complication from bladder rupture

T2 - A case report

AU - Yamakawa, Yasuaki

AU - Noda, Tomoyuki

AU - Saitou, Taichi

AU - Saiga, Kenta

AU - Nakahara, Ryuuichi

AU - Shimamura, Yasunori

AU - Ozaki, Toshihumi

PY - 2019/4/1

Y1 - 2019/4/1

N2 - The incidence rate of bladder rupture associated with pelvic ring fractures is reported to be about 5–10%, mostly occurring at the time of injury. Fragility pelvic ring fractures are reported to increase fracture displacement or become nonunion if they are treated inadequately. Few case reports on bladder rupture associated with fragility pelvic ring fracture have been published. We report a rare case of delayed bladder rupture associated with a fragility fracture of the pelvis. A 65-year-old female felt right hip pain without sustaining any trauma. She was diagnosed with a right pubic rami fracture. However, her pain deteriorated, and a sacral fracture was identified one month later. She was prescribed teriparatide, but her pain worsened and she was referred to our hospital. She was diagnosed with fragility fracture of the pelvis (Rommens classification type IVb) and was treated operatively. During the surgery, her thin bladder wall, which was compressed by a displaced pubic fragment, was torn and repaired. This is the first report describing a fragility fracture of the pelvis associated with a bladder rupture. Our treatment led to a successful result.

AB - The incidence rate of bladder rupture associated with pelvic ring fractures is reported to be about 5–10%, mostly occurring at the time of injury. Fragility pelvic ring fractures are reported to increase fracture displacement or become nonunion if they are treated inadequately. Few case reports on bladder rupture associated with fragility pelvic ring fracture have been published. We report a rare case of delayed bladder rupture associated with a fragility fracture of the pelvis. A 65-year-old female felt right hip pain without sustaining any trauma. She was diagnosed with a right pubic rami fracture. However, her pain deteriorated, and a sacral fracture was identified one month later. She was prescribed teriparatide, but her pain worsened and she was referred to our hospital. She was diagnosed with fragility fracture of the pelvis (Rommens classification type IVb) and was treated operatively. During the surgery, her thin bladder wall, which was compressed by a displaced pubic fragment, was torn and repaired. This is the first report describing a fragility fracture of the pelvis associated with a bladder rupture. Our treatment led to a successful result.

KW - Bladder rupture

KW - Fragility fracture of the pelvis (FFP)

KW - Nonunion

KW - Pelvic ring fracture

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