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Pelvic Ring Fracture With Traumatic Testicular Dislocation: A Case Report
Shin Nunotani1, Kenji Fujita2, Hidetoshi Yasutake2
1Orthopedics, Saiseikai Toyama Hospital, Toyama, JPN.
Abstract:
Pelvic ring fractures are often accompanied by complications, including vascular injuries such as life-threatening intra-abdominal bleeding and urinary tract damage resulting from direct external force. While urethral and bladder injuries are the most common urologic complications, testicular dislocation is rarely reported. Traumatic testicular dislocation (TTD), although uncommon, is frequently associated with motorcycle accidents and remains relatively unfamiliar to orthopedic surgeons, which can lead to delayed diagnosis. However, prolonged untreated dislocation may result in impaired spermatogenesis and endocrine dysfunction. Early detection and prompt urologic consultation are therefore essential. Treatment typically requires careful reduction, and in this case, testicular repositioning was achieved alongside pelvic fracture stabilization. We present a case of pelvic ring fracture complicated by TTD.
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