[Hip arthroscopy after luxatio obturatoria. With contralateral unstable pelvic ring XXXX ].

@entity1 @entity571 @entity174 @entity130 @entity16 @entity572 @entity7334 @entity4822
@entity4822 is a severe injury. Even in cases of an early uncomplicated repositioning there is a high risk of associated intra-articular injuries, such as lesions of the labrum, ruptures of the ligament of the head of the femur and loose bodies. The degree of damage caused by @entity572 becomes apparent with a highly increased risk of developing @entity571 after @entity572 . Some of the major @entity16 resulting from @entity572 , e.g. loose bodies, can be detected by computed tomography and magnetic resonance imaging and can be effectively addressed by hip arthroscopy, thus aiming at reducing the acute symptoms and the risk of @entity571 . The force effect which causes @entity572 can generate severe associated extra-articular injures as in the case described with an unstable @entity174 of the pelvis. This @entity130 had to be considered while planning the operative therapy and rehabilitation. A @entity1 presented after a traffic accident with a luxatio obturatoria on the right side and a complex @entity174 of the left pelvis including the posterior ring and the anterior wall of the acetabulum. After reposition of the right hip and operative therapy of the left side, a loose body was identified in the right hip joint during the computed tomography control of the osteosynthesis. Before @entity1 mobilization extraction of the @entity7334 was performed arthroscopically. This was done in consideration of the reduced possibility of distraction due to the osteosynthesis on the contralateral side. Attention was particularly paid to the risk of intra-abdominal fluid extravasation (IAFE). This syndrome is described as a severe complication during hip arthoscopy especially in cases of defects of the hip capsule as assumed after @entity572 and magnetic resonance imaging.
