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Open Dislocation of the Knee with Draining UrineA Case Report
Blake E. Peterson, MD1; Yvonne M. Murtha, MD1; Brett D. Crist, MD1
1 Department of Orthopaedic Surgery, University of Missouri, One Hospital Drive, N119, Columbia, MO 65212. E-mail address for B.D. Crist: cristb@health.missouri.edu
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Investigation performed at the Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Feb 13;3(1):e15 1-7. doi: 10.2106/JBJS.CC.L.00180
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Extract

Concomitant bladder injury is not an uncommon occurrence with pelvic fractures sustained via blunt trauma. Urine can often pool or collect in the peritoneum or form urinomas in multiple sites. We report a case of a patient who sustained a pelvic ring injury with extraperitoneal bladder rupture and an open dislocation of the knee that drained extravasated urine. Pelvic fractures with bladder injury and urinomas have been reported in the literature1,2; to the best of our knowledge, this is the first case report of urine draining from an open knee wound. The patient was informed that data concerning the case would be submitted for publication, and he provided consent. All patient confidentiality in this report is protected according to the United States Health Insurance Portability and Accountability Act.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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