The injured ee was opening a rail car door. He pulled on a large steel bar he was using & felt a pain in the groin area. He went home. Went to ER & discovered a heart flutter. Then they discovered 2 pre-existing hernias. They also noticed a twisted testicle. Surgery was performed to correct everything. Notified on 11/6/06 of surgery on the testicle & is charged as a LTA.