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A sexual act similar to the original [rusty trombone] with the exception that said [trombone player] is actually turned upside down by his partner in the air, hence the term "inverted". This variety does not necessarily require a male/female partnership as I first witnessed this act practiced (clothed, thankfully) by two men. It is imperative that the man being used as a trombone be strong, due to the fact that he has to turn and hold the [trombone player] upside down.
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