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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http://dx.doi.org/10.7759/cureus.78324 | DOI Listing |
OTA Int
June 2025
Department of Orthopaedic Surgery, UC Davis Medical Center, Sacramento, CA.
Useful techniques have been previously described for the planning of safe transsacral-transiliac screws, but to our knowledge, no straightforward technique has been described for anterior pelvic percutaneous fixation. As this method of anterior ring fixation has demonstrated biomechanical and clinical benefits, we propose a preoperative planning technique for determining the corridor characteristics of the patient's superior pubic ramus/anterior column for fracture fixation with percutaneous intramedullary screws. This technique helps the surgeon assess what diameter of solid or cannulated screw the corridor allows and predict the length of screw needed.
View Article and Find Full Text PDFJ Orthop Surg Res
March 2025
Department of Traumatic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430000, China.
Background: Retrograde superior ramus screw of pubis (SRSP) is a new kind of pelvic minimally invasive internal fixation apparatus developed by our team. The purpose of this study was to analyze the biomechanical stability of this new minimally invasive pelvic internal fixation device, and to provide this new device with theoretical basis for clinical application.
Methods: The Tile C1.
Am J Obstet Gynecol
March 2025
Population Council, Center for Biomedical Research, New York, NY.
Background: No empirical data support the 54-58mm external diameter of intravaginal rings (rings) currently available and in development for contraception and other indications. Understanding how external diameter affects preference, adherence, and acceptability is critical for optimizing future product development.
Objectives: Our primary objectives were to determine which of three non-medicated rings of differing external diameters was preferred and yielded the highest adherence.
Eur J Orthop Surg Traumatol
March 2025
Complexo Hospitalar do Trabalhador, Curitiba, PR, Brazil.
Background: High-energy polytrauma can be presented as an abdominal injury associated with a pelvic ring fracture. In the case of concomitant pelvic ring fracture peritoneostomy at admission, high morbidity and mortality rates could be expected.
Objectives: The main objective of this study is to assess prognostic factors that could contribute to the outcome of polytrauma patients who presented with pelvic ring fractures and were submitted to a peritoneostomy at admission.
Eur Radiol
March 2025
Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Percutaneous bone consolidation is increasingly used for the management of bone pain resulting from benign and malignant conditions. Percutaneous vertebroplasty was first performed in 1984 through the injection of polymethylmethacrylate (PMMA) bone cement directly into the cancellous bone of the vertebral body. Then, in the late nineties, balloon kyphoplasty was introduced consisting of the positioning of an inflatable balloon at the fracture site to create a cavity and restore the vertebral height, followed by PMMA injection.
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