1. Sports hernia repair with adductor tenotomy.
- Author
-
Harr JN and Brody F
- Subjects
- Adult, Athletic Injuries diagnostic imaging, Female, Groin diagnostic imaging, Groin surgery, Hernia diagnosis, Hernia diagnostic imaging, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Muscle, Skeletal diagnostic imaging, Muscle, Skeletal surgery, Pain etiology, Pain surgery, Pubic Bone injuries, Rectus Abdominis diagnostic imaging, Rectus Abdominis injuries, Rectus Abdominis surgery, Return to Sport, Suture Techniques, Tendinopathy diagnostic imaging, Tenotomy statistics & numerical data, Thigh, Young Adult, Athletic Injuries surgery, Herniorrhaphy methods, Tendinopathy surgery, Tenotomy methods
- Abstract
Purpose: Sports hernias, or athletic pubalgia, is common in athletes, and primarily involves injury to the fascia, muscles, and tendons of the inguinal region near their insertion onto the pubic bone. However, management varies widely, and rectus and adductor tenotomies have not been adequately described. The purpose of this manuscript is to demonstrate a suture repair and a rectus and adductor longus tenotomy technique for sports hernias., Methods: After magnetic-resonance-imaging confirmation of sports hernias with rectus and adductor tendonitis, 22 patients underwent a suture herniorrhaphy with adductor tenotomy. The procedure is performed through a 4-cm incision, and a fascial release of the rectus abdominis and adductor tenotomy is performed to relieve the opposing vector forces on the pubic bone., Results: All 22 patients returned to their respective sports and regained their ability to perform at a high level, including professional status. No further surgery was required., Conclusion: In athletes with MRI confirmation of rectus and adductor longus injuries, tenotomies along with a herniorraphy may improve outcomes. A suture repair to reinforce the inguinal floor prevents mesh-related complications, especially in young athletes.
- Published
- 2017
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