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Archives of Orthopaedic and Trauma Surgery

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01-11-2014 | Arthroscopy and Sports Medicine

Arthroscopic pubic symphysis debridement and adductor enthesis repair in athletes with athletic pubalgia: technical note and video illustration

Authors: Sascha Hopp, Masjudin Tumin, Peter Wilhelm, Tim Pohlemann, Jens Kelm

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2014

Abstract

We elaborately describe our novel arthroscopic technique of the symphysis pubis in athletes with osteitis pubis and concomitant adductor enthesopathy who fail to conservative treatment modalities. The symphysis pubis is debrided arthroscopically and the degenerated origin of adductor tendon (enthesis) is excised and reattached. With our surgical procedure the stability of the symphysis pubis is successfully preserved and the adductor longus enthesopathy simultaneously addressed in the same setting.

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Batt ME, McShane JM, Dillingham MF (1995) Osteitis pubis in collegiate football players. Med Sci Sports Exerc 27:629–633PubMedCrossRef

Hiti CJ, Stevens KJ, Jamati MK, Garza D, Matheson GO (2011) Athletic Osteitis Pubis. Sports Med 41(5):361–376PubMedCrossRef

Radic R, Annear P (2008) Use of pubic symphysis curettage for treatment-resistant osteitis pubis in athletes. Am J Sports Med 36:122–128PubMedCrossRef

Brennan D, O´Connell MJ, Ryan M, Cunningham P, Taylor D, Cronin C, O´Neill P, Eustace S (2005) Secondary cleft sign as a marker on injury in athletes with groin pain: MR image appearance and interpretation. Radiology 235:162–167PubMedCrossRef

Cunningham PM, Brennan D, O´Connell M, MacMahon P, O´Neill P, Eustace S (2007) Patterns of bone and soft-tissue injury at the symphysis pubis in soccer players: observations at MRI. AJR 188:291–296CrossRef

Grace JN, Sim FH, Shives TC, Coventry MB (1989) Wedge resection of the symphysis pubis for the treatment of osteitis pubis. J Bone Jt Surg Am 71:358–364

Moore RS Jr, Stover MD, Matta JM (1998) Late posterior instability of the pelvis after resection of the symphysis pubis for the treatment of osteitis pubis. A report of two cases. J Bone Jt Surg Am 80:1043–1048CrossRef

Williams PR, Thomas DP, Downes EM (2000) Osteitis pubis and instability of the pubic symphysis. When nonoperative measures fail. Am J Sports Med 28:350–355PubMed

Hechtman KS, Zvijac JE, Popkin CA, Zych GA, Botto-van Bemden A (2010) A minimally disruptive surgical technique for the treatment of osteitis pubis in athletes. Orthopedics 2:210–215

10.

Mehin R, Meek R, O´Brien P, Blachut P (2006) 17. Can J Surg 49(3):170PubMedPubMedCentral

11.

Robinson P, Salehi F, Grainger A, Clemence M, Schilders E, O´Connor P, Agut A (2007) Cadaveric and MRI Study of the musculotendinous contributions to the capsule of the symphysis pubis. Am J Rad 188:440–445

12.

Becker I, Woodley SJ, Stringer MD (2010) The adult human pubic symphysis: a systematic review. J Anat 217:475–487PubMedCrossRefPubMedCentral

13.

Hopp S, Culemann U, Kelm J, Pohlemann T, Pizanis A (2013) Osteitis pubis and adductor tendinopathy in athletes—a novel arthroscopic pubic symphysis curettage and adductor reattachment. Arch Orthop Trauma Surg 133(7):1003–1009PubMedCrossRef

Title: Arthroscopic pubic symphysis debridement and adductor enthesis repair in athletes with athletic pubalgia: technical note and video illustration
Authors: Sascha Hopp
Masjudin Tumin
Peter Wilhelm
Tim Pohlemann
Jens Kelm
Publication date: 01-11-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2014
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-014-2065-x

At a glance: The STEP trials

Springer Medicine

Arthroscopic pubic symphysis debridement and adductor enthesis repair in athletes with athletic pubalgia: technical note and video illustration

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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