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u/orthopod Assc Prof. Onc 14d ago
I think this is worse than the guy with the fractured femoral head that wound up in the scrotum
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u/Assist-Altruistic Orthopaedic Surgeon - sports trained 14d ago edited 14d ago
Fuck me. I’d rather have the interposed testicle. At least you’ll have one left and functioning with the intact. That dudes hip in the scrotum ain’t gonna last.
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u/drunkentoubib 14d ago
Head necrosis ?
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u/orthopod Assc Prof. Onc 13d ago
Probably higher likelihood than 99%.
There's a reason that Endoprothetics won out in the Great allograft vs metal war in the musculoskeletal tumor society
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u/revanjedi 13d ago
Damn the one who published this is gonna fail anyone who doesnt mention scrotum and testicle check for hip anterior dislocation
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u/D15c0untMD Orthopaedic Surgeon 13d ago
That’s worse than the guy we had who had a subcap humerus fracture after a car crash and the humeral head was pushed into his chest cavity and was recovered from just above his diaphragm.
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u/LocalBoneSetter 14d ago
Case: A 48-year-old healthy man presented with severe inguinal pain and hip immobility after a high-energy injury. Physical examination revealed scrotal invagination and a nonpalpable testis. Imaging confirmed anterior hip subluxation and intra-articular soft-tissue interposition. After failed closed reduction, surgical exploration identified testicular entrapment. Compressive necrosis necessitated orchiectomy; stable joint reduction was achieved. The patient remained asymptomatic at 12 months.