Arthroskopisch assistierte minimal-invasive Symphysioplastik zur Behandlung des schambeinbezogenen Leistenschmerzes

Zimmerer, Alexander; Ramı́rez, Luı́s Eduardo; Astarita, Emanuele; Bellotti, Vittorio; Cardenas, Carlomagno

doi:10.1007/s00064-021-00753-4

Cited by 1 publication

(7 citation statements)

References 32 publications

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“…Arthroscopically assisted open procedures have yielded high satisfaction rates. 7,11,26 These procedures were arthroscopically assisted open currettage, 7 arthroscopically assisted open adductor reattachment, 11 and arthroscopically assisted open currettage combined with arthroscopic FAI treatment. 26 Nevertheless, 1 of these studies reported vascular injury requiring ligation in the corona mortis.…”

Section: Discussionmentioning

confidence: 99%

“…7,11,26 These procedures were arthroscopically assisted open currettage, 7 arthroscopically assisted open adductor reattachment, 11 and arthroscopically assisted open currettage combined with arthroscopic FAI treatment. 26 Nevertheless, 1 of these studies reported vascular injury requiring ligation in the corona mortis. 11 Matsuda et al 14,15 proposed the full arthroscopic technique (pubic symphysiectomy combined with arthoscopic FAI treatment), and reported similar high satisfaction rates without taking the risks of open approaches.…”

Section: Discussionmentioning

confidence: 99%

“…Various patient-reported outcome measures (PROMs) have been used to evaluate osteitis pubis treatment in previous studies, including VAS, 11,15 NPRS, 11 and NAHS. 15,26 The mHHS has also been used to evaluate the functional status of patients with osteitis pubis and symphysis pubis abnormalities. 13,21 We used these 4 outcome measurements to evaluate the pain and functional status of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…15 In addition, 3 other case series have reported satisfactory outcomes after pubic symphyseal curettage using open techniques with arthroscopic assistance. 7,11,26…”

mentioning

confidence: 99%

“…15 In addition, 3 other case series have reported satisfactory outcomes after pubic symphyseal curettage using open techniques with arthroscopic assistance. 7,11,26 For osteitis pubis patients, the surgical procedure must provide sufficient debridement and resection of the pubic symphysis without disrupting the surrounding ligamentous structures. Ligamentous structures of the pubic symphysis are the superior, inferior, anterior, and posterior pubic ligaments.…”

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confidence: 99%

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Midterm Functional Outcomes of Arthroscopically Treated Recalcitrant Osteitis Pubis in Competitive Soccer Players

Ganal,

Çelen

2023

Orthopaedic Journal of Sports Medicine

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Background: Outcomes after arthroscopic debridement for isolated osteitis pubis in athletes are unknown, and midterm results following this method have not been established. Purpose/Hypothesis: To evaluate the safety and efficiency of arthroscopic treatment for recalcitrant osteitis pubis in competitive soccer players. It was hypothesized that this treatment modality would yield clinical improvement in functional and patient satisfaction scores compared with preoperative values. Study Design: Case series; Level of evidence 4. Methods: At a single center, 10 consecutive male soccer players (mean age, 23.6 ± 4.4 years; range, 19-32 years) with a mean follow-up period of 72.2 ± 13.4 months (range, 60-97 months) were evaluated. All patients presented with symptomatic osteitis pubis and failed to respond to nonoperative treatment. Arthroscopic pubic symphysiectomy was performed in the supine position, and penile manipulation was performed in all cases to mitigate risks associated with neurovascular structures and the root of the penis. Outcome measurements were time to return to sports, visual analog scale (VAS) for pain, Nirschl Phase Rating Scale (NPRS), Nonarthritic Hip Score (NAHS), modified Harris Hip Score (mHHS), and patient satisfaction. Preoperative and postoperative radiographs were also assessed. Results: The mean time to return to sports was 4.6 ± 1.7 months (range, 3-8 months). The mean VAS pain score decreased from 9.3 ± 0.8 (range, 8-10) to 0.2 ± 0.4 (range, 0-1) ( P = .005). The mean NPRS decreased from 6.6 ± 0.5 (range, 6-7) to 0.3 ± 0.5 (range, 0-1) ( P = .004). The mean NAHS increased from 35.8 ± 16.7 (range, 14-72) to 98.2 ± 2.7 (range, 93-100) ( P = .005). The mean mHHS increased from 47.4 ± 10.6 (range, 27-60) to 98.2 ± 4.5 (range, 86-100) ( p = .005). The mean patient satisfaction was 9.7 ± 0.7 (range, 8-10). Scrotal swelling was observed in 4 patients, which was resolved 36 to 48 hours postoperatively. Conclusion: Arthroscopic treatment of osteitis pubis may be an option for recalcitrant cases when nonoperative treatment fails. However, further studies are needed to determine whether this technique and the outcomes of this study can be reproduced.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…15 In addition, 3 other case series have reported satisfactory outcomes after pubic symphyseal curettage using open techniques with arthroscopic assistance. 7,11,26…”

mentioning

confidence: 99%

mentioning

confidence: 99%

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