Display options
Share it on

Arthrosc Tech. 2015 Mar 16;4(2):e115-7. doi: 10.1016/j.eats.2014.11.015. eCollection 2015 Apr.

Endoscopic Pubic Symphysectomy for Recalcitrant Osteitis Pubis.

Arthroscopy techniques

Asheesh Gupta, John M Redmond, Jon E Hammarstedt, Carlos Suarez-Ahedo, Timothy J Martin, Dean K Matsuda, Benjamin G Domb

Affiliations

  1. American Hip Institute, Westmont, Illinois, U.S.A.
  2. DISC Sports and Spine Center, Marina del Rey, California, U.S.A.
  3. American Hip Institute, Westmont, Illinois, U.S.A. ; Hinsdale Orthopaedics, Westmont, Illinois, U.S.A. ; Loyola University Chicago Stritch School of Medicine, Chicago, Illinois, U.S.A.

PMID: 26052486 PMCID: PMC4454813 DOI: 10.1016/j.eats.2014.11.015

Abstract

Recalcitrant osteitis pubis presents a challenging problem for orthopaedic surgeons. Various surgical interventions have been described for treatment, including opening-wedge resection, symphysiodesis, and curettage. We propose that endoscopic pubic symphysectomy offers an effective method of treating such a challenging problem. This article describes in detail the technique used to perform endoscopic pubic symphysectomy, and a companion video demonstrating the procedure is included. Our experience suggests that removal of the interpubic fibrocartilaginous lamina and resection of approximately 1 cm of bone can successfully eliminate all sources of pain and dysfunction caused by the recalcitrant osteitis pubis.

References

  1. Clin Orthop. 1961;20:187-92 - PubMed
  2. Am J Sports Med. 2008 Jan;36(1):122-8 - PubMed
  3. Am J Sports Med. 2000 May-Jun;28(3):350-5 - PubMed
  4. Orthopedics. 2010 Mar;33(3):null - PubMed
  5. J Am Acad Orthop Surg. 2013 Sep;21(9):558-70 - PubMed
  6. JAMA. 1961 Dec 2;178:898-905 - PubMed
  7. Br J Sports Med. 2001 Feb;35(1):28-33 - PubMed
  8. Sports Med. 1999 Aug;28(2):137-44 - PubMed
  9. Am J Sports Med. 1995 Sep-Oct;23 (5):601-6 - PubMed
  10. Scand J Med Sci Sports. 1999 Apr;9(2):98-103 - PubMed
  11. Obstet Gynecol Surv. 1995 Apr;50(4):310-5 - PubMed
  12. Phys Sportsmed. 2001 Jul;29(7):33-48 - PubMed
  13. J Bone Joint Surg Am. 1998 Jul;80(7):1043-8 - PubMed
  14. Curr Sports Med Rep. 2003 Apr;2(2):98-102 - PubMed
  15. Sports Med. 1991 Oct;12 (4):266-79 - PubMed
  16. Med Sci Sports Exerc. 1995 May;27(5):629-33 - PubMed
  17. Clin Sports Med. 1998 Oct;17(4):787-93, vii - PubMed

Publication Types