Nunotani Shin, Fujita Kenji, Yasutake Hidetoshi, Suganuma Seigo, Shimanuki Keito, Demura Satoru
Orthopedics, Saiseikai Toyama Hospital, Toyama, JPN.
Orthopedic Surgery, Ishikawa Prefectural Central Hospital, Kanazawa, JPN.
Cureus. 2025 Feb 1;17(2):e78324. doi: 10.7759/cureus.78324. eCollection 2025 Feb.
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.
骨盆环骨折常伴有并发症,包括危及生命的腹腔内出血等血管损伤以及直接外力导致的尿路损伤。虽然尿道和膀胱损伤是最常见的泌尿外科并发症,但睾丸脱位很少被报道。创伤性睾丸脱位(TTD)虽然不常见,但常与摩托车事故相关,骨科医生对此仍相对陌生,这可能导致诊断延迟。然而,脱位长期未治疗可能会导致精子发生受损和内分泌功能障碍。因此,早期发现并及时咨询泌尿外科医生至关重要。治疗通常需要谨慎复位,在本病例中,睾丸复位与骨盆骨折固定同时完成。我们报告一例伴有创伤性睾丸脱位的骨盆环骨折病例。