Ureteral Entrapment in an Associated Anterior Column and Posterior Hemitransverse Acetabular Fracture: A Case Report

• Published in: JBJS case connector Vol. 10; no. 2; p. e0472
• Main Authors: Ahmed, Adil S, Achors, Kyle G, Roberts, Michael S, Christensen, Joseph T, Mir, Hassan R
• Format: Journal Article
• Language: English
• Published: United States 24.04.2020
• Subjects: Accidents, Traffic; Acetabulum - diagnostic imaging; Acetabulum - injuries; Acetabulum - surgery; Fractures, Bone - complications; Fractures, Bone - diagnostic imaging; Fractures, Bone - surgery; Humans; Male; Middle Aged; Open Fracture Reduction - methods; Stents; Tomography, X-Ray Computed; Ureter - diagnostic imaging; Ureter - injuries; Urologic Surgical Procedures
• DOI: 10.2106/JBJS.CC.18.00472

A 59-year-old man was struck by an automobile resulting in left anterior column posterior hemitransverse acetabular fracture with ureteral entrapment. Open reduction internal fixation was performed with removal of the ureter from the fracture. At follow-up 7 months post-op, the patient did not report significant hip or urinary symptoms, and implant position and fracture alignment remained intact. Surgeons should be mindful of possible ureteral injury associated with acetabular fractures. Awareness of this rare entrapment within medially displaced acetabular fractures may heighten clinical suspicion and improve management.