Relation between Location of Pelvic bone Fractures and the Injury to the Urinary bladder, Urethra or Lower gastrointestinal tract.
- Author:
Chang Ho KIM
1
;
Jung Bae PARK
;
Hyun Wook RYOO
;
Kang Suk SEO
;
Jun Seok SEO
;
Jae Myung CHUNG
;
Dong Wook JE
;
Ae Jin SUNG
Author Information
1. Department of Emergency Medicine, College of Medicine, Kyungpook National University, Daegu, Korea. jbpark@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Urinary bladder;
Urethra;
Lower gastrointestinal tract;
Pelvic bone;
Fracture
- MeSH:
Emergency Service, Hospital;
Gyeongsangbuk-do;
Humans;
Joints;
Logistic Models;
Lower Gastrointestinal Tract*;
Odds Ratio;
Pelvic Bones*;
Retrospective Studies;
Sacroiliac Joint;
Sacrum;
Urethra*;
Urinary Bladder*;
Urinary Tract
- From:Journal of the Korean Society of Traumatology
2007;20(2):90-95
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This research was conducted to study whether the specific location of pelvic-bone fractures could increase the risk for injury to the urinary bladder, urethra, or lower gastrointestinal tract. METHODS: We retrospectively reviewed the data of 234 patients with pelvic-bone fractures who visited the emergency department of Kyungpook National University Hospital from January 2004 to December 2006. The location of the pelvic-bone fracture was divided into 8 parts. The association of fracture location with injury to the urinary bladder, urethra, or lower gastrointestinal tract was analyzed with Fisher's-exact test and multiple logistic regression. RESULTS: Nineteen(19) patients had urinary bladder injury, 8 had urethral injury, and 9 had lower gastrointestinal tract injury. The following fracture locations were found to be significant; urinary bladder: sacroiliac (SI) joint (p<0.001), symphysis pubis (p=0.011), and sacrum (p=0.005); urethra: SI joint (p=0.020); lower gastrointestinal tract: symphysis pubis (p=0.028). After the multiple logistic regression analysis, the primary and the independent predictors for each of the injuries were as follows; urinary bladder: sacroiliac joint (p=0.000, odds ratio [OR]=10.469); lower gastrointestinal tract: symphysis pubis (p=0.037, OR=7.009). CONCLUSION: Consideration of further workup for injuries to the lower gastrointestinal and urinary tract is needed for some locations of pelvic-bone fractures because certain pelvic-bone fracture locations, especially the sacroiliac joint and the symphysis pubis, are associated with increased risk for injury to the lower gastrointestinal and urinary tracts.
