What causes acute testicular torsion?

The main causes of acute testicular torsion are as follows: 1. Congenital factors: In some males, abnormalities in the testicular attachment ligament are present at birth, such as being too long, too loose, or abnormally positioned, which makes the testicle more prone to twisting. 2. Vigorous physical activity: Engaging in intense physical activities or sports may increase the risk of testicular torsion, possibly due to improper compression or movement of the testicle during exercise. 3. Trauma: Injury to the scrotal area, such as blunt impact or straddle injury, may directly lead to testicular torsion. 4. Anatomical abnormalities: Structural malformations of the testis and inguinal region, such as undescended testis or ectopic testis, may also predispose individuals to acute testicular torsion under certain postures or during vigorous exercise. 5. Sleep habits: Unreasonable sleeping positions may force changes in testicular position, thereby triggering acute testicular torsion.