Testicular torsion is present in approximately 3 – 17% of children brought to the ED with scrotal pain.  It has a bimodal incidence in the first year of life and at puberty, when the rapid increase in testicular volume predisposes the testis to torsion. While not as common, it can also occur late into adult hood. Because the testicular salvage rate is time dependent, prompt recognition and diagnosis is an essential skill of the emergency provider.  In this month's feature film, Dr. Jacob Avila busts some myths and misconceptions about testicular torsion.