Traumatic Testicular Dislocation Associated with Lateral Compression Pelvic Ring Injury and T-Shaped Acetabulum Fracture

We report a case of a unilateral testicular dislocation to the superficial inguinal region associated with a lateral compression type pelvic ring injury (OTA classification 61-C3.3a2, b2, c3) and left T-shaped acetabulum fracture (OTA classification 62-B2) in a 44-year-old male who was in a motorcyc...

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Main Authors: Daniel Howard Wiznia, Mike Wang, Chang Yeon-Kim, Paul Tomaszewski, Michael P. Leslie
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/9706392
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author Daniel Howard Wiznia
Mike Wang
Chang Yeon-Kim
Paul Tomaszewski
Michael P. Leslie
author_facet Daniel Howard Wiznia
Mike Wang
Chang Yeon-Kim
Paul Tomaszewski
Michael P. Leslie
author_sort Daniel Howard Wiznia
collection DOAJ
description We report a case of a unilateral testicular dislocation to the superficial inguinal region associated with a lateral compression type pelvic ring injury (OTA classification 61-C3.3a2, b2, c3) and left T-shaped acetabulum fracture (OTA classification 62-B2) in a 44-year-old male who was in a motorcycle accident. The testicular dislocation was noted during the emergency department primary survey, and its location and viability were verified with ultrasound. The testicle was isolated during surgical stabilization of the left acetabulum through a Pfannenstiel incision and modified-Stoppa approach and returned through the inguinal canal to the scrotum. In follow-up, the patient did not suffer urologic or sexual dysfunction. All motorcycle collision patients presenting with pelvic ring injuries or acetabulum fractures should be worked up for possible testicular dislocation with a scrotal exam. Advanced imaging and a urologic consult may be necessary to detect and treat these injuries.
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spelling doaj-art-80aeefd6af374658b15faa7ada0c5f852025-02-03T06:06:08ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/97063929706392Traumatic Testicular Dislocation Associated with Lateral Compression Pelvic Ring Injury and T-Shaped Acetabulum FractureDaniel Howard Wiznia0Mike Wang1Chang Yeon-Kim2Paul Tomaszewski3Michael P. Leslie4Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 800 Howard Avenue, New Haven, CT 06510, USADepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, 800 Howard Avenue, New Haven, CT 06510, USADepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, 800 Howard Avenue, New Haven, CT 06510, USADepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, 800 Howard Avenue, New Haven, CT 06510, USADepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, 800 Howard Avenue, New Haven, CT 06510, USAWe report a case of a unilateral testicular dislocation to the superficial inguinal region associated with a lateral compression type pelvic ring injury (OTA classification 61-C3.3a2, b2, c3) and left T-shaped acetabulum fracture (OTA classification 62-B2) in a 44-year-old male who was in a motorcycle accident. The testicular dislocation was noted during the emergency department primary survey, and its location and viability were verified with ultrasound. The testicle was isolated during surgical stabilization of the left acetabulum through a Pfannenstiel incision and modified-Stoppa approach and returned through the inguinal canal to the scrotum. In follow-up, the patient did not suffer urologic or sexual dysfunction. All motorcycle collision patients presenting with pelvic ring injuries or acetabulum fractures should be worked up for possible testicular dislocation with a scrotal exam. Advanced imaging and a urologic consult may be necessary to detect and treat these injuries.http://dx.doi.org/10.1155/2016/9706392
spellingShingle Daniel Howard Wiznia
Mike Wang
Chang Yeon-Kim
Paul Tomaszewski
Michael P. Leslie
Traumatic Testicular Dislocation Associated with Lateral Compression Pelvic Ring Injury and T-Shaped Acetabulum Fracture
Case Reports in Orthopedics
title Traumatic Testicular Dislocation Associated with Lateral Compression Pelvic Ring Injury and T-Shaped Acetabulum Fracture
title_full Traumatic Testicular Dislocation Associated with Lateral Compression Pelvic Ring Injury and T-Shaped Acetabulum Fracture
title_fullStr Traumatic Testicular Dislocation Associated with Lateral Compression Pelvic Ring Injury and T-Shaped Acetabulum Fracture
title_full_unstemmed Traumatic Testicular Dislocation Associated with Lateral Compression Pelvic Ring Injury and T-Shaped Acetabulum Fracture
title_short Traumatic Testicular Dislocation Associated with Lateral Compression Pelvic Ring Injury and T-Shaped Acetabulum Fracture
title_sort traumatic testicular dislocation associated with lateral compression pelvic ring injury and t shaped acetabulum fracture
url http://dx.doi.org/10.1155/2016/9706392
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AT changyeonkim traumatictesticulardislocationassociatedwithlateralcompressionpelvicringinjuryandtshapedacetabulumfracture
AT paultomaszewski traumatictesticulardislocationassociatedwithlateralcompressionpelvicringinjuryandtshapedacetabulumfracture
AT michaelpleslie traumatictesticulardislocationassociatedwithlateralcompressionpelvicringinjuryandtshapedacetabulumfracture