Degloving injury to groin, scrotum and penis due to low-velocity handlebar injury

Abstract

Bicycles are a common cause of blunt abdominal trauma causing 5%–14% of injuries. However, impalement or shear injuries from low-velocity mechanism of injury are rare. We report a case of a 14-year-old boy presenting with an extensive left groin injury sustained while cycling one-handed along the pavement at walking pace. The laceration ran for 12–14 cm from the left groin across the pubis to the right and 10 cm inferiorly into the perineum. This inverted the left scrotum and partially degloved the penis. The corpus cavernosa and tunica vaginalis were exposed up to the level of the superficial inguinal ring. Literature on handlebar-impalement injuries is sparse and the majority of penile degloving injuries described in the literature result from alternative mechanisms. This unusual case demonstrates the potential forces involved, and potential damage resulting from handlebar injuries even at low velocity.

Pediatric penoscrotal degloving injury by a cordless drill: A case report and literature review

“…Most of the cases manifested as laceration (43%), followed by abrasion and contusion (42%) [10]. Degloving penile injury in pediatric age group has various causes and forms which is different from adults [5].It may be caused by botched circumcision, pet attack, mistreatment by parents or caregiver, automobile accident, zipper injury and penile strangulation by thread or hair [6][7][8][9][10]. Penile degloving injury frequently happen when operating rotary-type machine typical distinctly found in farming and industrial machinery described as power takeoff injury [1].…”

Case Report: An extremely rare penile shrapnel injury

“…In an era of peace, occurrences of penile shrapnel injuries are extremely rare. Various mechanical penile injuries and wound complications have been extensively documented in the literature (1)(2)(3)(4). However, there is no previous record of reported cases regarding penile shrapnel injuries in published literature.…”