Journal of Musculoskeletal Trauma

Latent Superior Gluteal Artery Injury by Entrapment between the Fragments in Transverse Acetabular Fracture - A Case Report -: Hyuk Jin Choi, Byung Chul Kim, Hoon Kwon, Jae Hoon Jang; J Korean Fract Soc 2021;34(1):30-33. Published online January 31, 2021; DOI: https://doi.org/10.12671/jkfs.2021.34.1.30

The superior gluteal artery is branched from the internal iliac artery and is located outside the pelvis through a greater sciatic notch. This anatomical characteristic makes the artery vulnerable to injury when pelvic fracture involves the sciatic notch. In the case of a superior gluteal artery injury, hemodynamic instability can occur, and appropriate evaluation and management are mandatory in the acute phase. On the other hand, if the initial detection of the injury is neglected due to a masked pattern, it can cause massive bleeding during surgery, resulting in difficult hemostasis. This paper reports an experience of a latent superior gluteal artery injury by entrapment between the fragments of a transverse acetabular fracture.

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Superior gluteal artery injury in pelvic ring injury and acetabular fracture: Single center observational study
Hoon Kwon, Jae Hoon Jang, Nam Hoon Moon, Seung Joon Rhee, Dong Yeon Ryu, Tae Young Ahn
Journal of Orthopaedic Science.2024; 29(6): 1483. CrossRef

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Traumatic Bladder Rupture in Pelvic Fracture - Case Report: Soon yong Kwon, Woung Kyun Woo, Hwa Sung Lee, Jong Chul Kim, Yong Sik Kim; J Korean Soc Fract 2002;15(1):77-81. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.77

Abstract PDF: Pelvic fracture and bladder rupture resulted in bladder wall entrapment in the fracture site of a patient involved in a fall down accident. Although hematuria and bladder rupture are known to occur after fracture of the pelvis, our literature review showed no reports of this type injury or management. Abscess was drainaged and sepsis was managed with fluid and antibiotics treatment. Bladder extravasation was managed with primary repair and surgical extraction of catheter drainage. We report a case of a patient who presented with traumatic bladder rupture in pelvic fracture.

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Posterior stabilization of the Unstable Pelvic Ring Fracture: Soon Taek Jeong, Ji Yeon Kim, Se Hyun Cho; J Korean Soc Fract 1996;9(3):513-517. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.513

Abstract PDF: Stable pelvis fracture is easily treated by conservative treatment with little complication. Unstable pelvic ring fracture, however, is difficult to manage due to various problems. Conservative treatment is rarely indicated because prolonged traction and immobilization often lead to life-threatening complications. The malunion produces pain, limb length discrepancy and eventually poor life quality, Surgical stabilization can help easy care of patients, early mobilization and diminish the morbidity. This study is to present the clinical results of two kinds of metal fixations using seven transiliac bars and four percutaneous sacral screws for the surgical stabilization of the unstable pelvic ring fractures. Total eleven cases had been operated by the authors at Geyong-Sang national hospital from August 1991 to April 1994. They were eight male and three female patients of average forty one years in age(range, eighteen to sixty two years). The average duration of follow-up was thirty one months(range, twenty to fifty three months). All cases of sacral screw fixations revealed satisfactory results both at clinical and radiological aspects. Out of seven cases of transiliac bar fixation, there were two cases of minor infection and three cases of painful and palpable hardware requiring removal, especially in thin patients. The results confirm that sacral screw is better tolerated by thin patients in spite of risk of temporary entrapment of sacral cutaneous nerves.

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