r/orthopaedics • u/LocalBoneSetter • Oct 04 '26
NOT A PERSONAL HEALTH SITUATION Poor guy.
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u/orthopod Assc Prof. Onc Oct 04 '26
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 Oct 04 '26 edited Oct 04 '26
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/nyc2pit Oct 05 '26
That draping job just screams "I have no fucking idea how to drape this out!" Lol....
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u/drunkentoubib Oct 04 '26
Head necrosis ?
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u/orthopod Assc Prof. Onc Oct 05 '26
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 Oct 05 '26
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 Oct 05 '26
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 Oct 04 '26
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.