Dislocation of the penis: a rare case of genital trauma

Traumatic dislocation of the penis is one of the rarest types of genital trauma. This type of injury is accompanied by a violation of the integrity of the skin and the penile ligamentous apparatus, with the dislocation of the penis into the scrotum under the skin of the thigh, or the area of the pubic joint. The low occurrence frequency of such injuries and the small number of observations described in the literature entails the absence of generally accepted treatment tactics for this category of patients. The article describes a clinical case of successfully treated traumatic dislocation of the penis with penile transposition into the pubic joint area and the formation of subcutaneous urinary leakage after late treatment of the patient for medical care.

Rare case of traumatic bilateral testicular dislocation

Bilateral traumatic testicular dislocation is an uncommon condition and usually occurs after a direct impact on the scrotum. Herein, we report this as a rare case of a 21-year-old man presenting with bilateral traumatic dislocation of testes into the inguinal canal following a motorcycle accident. Imaging studies ruled out any other associated injuries. The patient underwent bilateral orchidopexy without any further complications.

Traumatic Dislocation of the Knee Unsuitable for the Reconstruction of Ligamentous Injuries Because of Vascular Injury: A Case Report

Traumatic dislocation of the knee is rare, but often requires surgical intervention because complications frequently occur, including various ligamentous injuries. In this study, we report a case of knee dislocation with ligamentous injuries and injury to the popliteal artery. The patient was a 32-year-old man. He fell while bouldering and was diagnosed with dislocation of the right knee and multiple ligamentous injuries. Upon examination, we found that his right dorsal foot was numb, and the dorsal artery of the right foot was not palpable. His right leg felt cold compared to the other leg. Magnetic resonance imaging revealed injuries to the anterior cruciate ligament, posterior cruciate ligament, and lateral collateral ligament. Computed tomography revealed that the patient’s right popliteal artery was partially obstructed. We planned to reconstruct the injured ligaments. Prior to the surgery, the radiologist performed angiography, and the patient’s popliteal artery became completely obstructed during angiography; therefore, revascularization was performed immediately. Although the blood flow in the right leg recovered, it remained cold, and we did not reconstruct the ligamentous injuries. Knee dislocation requiring revascularization is quite rare. However, it causes severe dysfunction of the knee. Thus, meticulous and frequent evaluation of vascular injuries is necessary for the treatment of knee dislocation.