Anterior Hip Dislocation with Testicular Interposition: A Case Report.
Gustavo Zeni Schuroff, Marco Antonio Pedroni, Felipe Becker Mantovani et al.
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Case in brief
A 48-year-old man experienced severe inguinal pain and hip immobility following a high-energy injury. Examination revealed scrotal invagination and a nonpalpable testis, with imaging showing anterior hip subluxation and soft-tissue interposition. After unsuccessful closed reduction, surgery revealed testicular entrapment, leading to orchiectomy. The joint was stabilized, and the patient remained asymptomatic at 12 months.
What made this case unusual
The case is notable for the testicular interposition found during surgical exploration, which is an atypical complication in anterior hip dislocations.
Diagnostic / clinical pearl
Clinicians should conduct a thorough perineal assessment in cases of high-energy pelvic trauma to identify potential soft-tissue interpositions that may hinder joint reduction.
Why it matters
Recognizing the possibility of unusual soft-tissue interpositions can prevent complications and improve outcomes in similar trauma cases.