(4,28) Grade V parenchymal injuries, uteropelvic junction avulsions or complete avulsion of the fornices require operative management.
(51) When the ureter is damaged from blunt trauma, injury most commonly occurs at the uteropelvic junction, where the ureter attaches to the bladder.
Blunt avulsion of the ureter or uteropelvic junction is treated with limited debridement of viable tissue.