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

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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Conflict of interest

No conflicts of interest at all.

Author information

Correspondence to Sascha Hopp.

Electronic supplementary material

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Video 1 The video demonstrates the complete surgical procedure from cut to stitch. It is illustrated on the basis of a case of a young 24 year old competitive football player diagnosed with a degenerative osteitis pubis and a chronic proximal adductor longus enthesopathy on the right side. Soft tissue preparation in the groin as a precondition for the installation of the portals was emphasized in the video (WMV 256650 kb)

Video 1 The video demonstrates the complete surgical procedure from cut to stitch. It is illustrated on the basis of a case of a young 24 year old competitive football player diagnosed with a degenerative osteitis pubis and a chronic proximal adductor longus enthesopathy on the right side. Soft tissue preparation in the groin as a precondition for the installation of the portals was emphasized in the video (WMV 256650 kb)

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Hopp, S., Tumin, M., Wilhelm, P. et al. Arthroscopic pubic symphysis debridement and adductor enthesis repair in athletes with athletic pubalgia: technical note and video illustration. Arch Orthop Trauma Surg 134, 1595–1599 (2014) doi:10.1007/s00402-014-2065-x

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Keywords

  • Arthroscopy
  • Pubic symphysis
  • Osteitis pubis
  • Debridement
  • Adductor enthesopathy
  • Athletes