It's Athletic Pubalgia Hip Preservation Section Dec 8 th , 2017 - - PowerPoint PPT Presentation
It's Athletic Pubalgia Hip Preservation Section Dec 8 th , 2017 Srino Bharam, MD Clinical Professor Mount Sinai School of Medicine Director, Hip Arthroscopy Lenox Hill Hospital New York, NY I (and/or my co-authors) have something to
Hip Preservation Section Dec 8th, 2017
Srino Bharam, MD Clinical Professor Mount Sinai School of Medicine Director, Hip Arthroscopy Lenox Hill Hospital New York, NY
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Above Symphysis
Inguinal disruption Rectus abdom injuries Ilioinguinal nerve entrapment Adductor musculotendinous injuries Adductor strain Obturator n entrapment
At Level of Symphysis
Pubic rami stress fracture Adductor avulsion Adductor enthesopathy
Below Symphysis
I II III
66% of groin injuries 91% US, 93% MRI Majority involve adductor longus
Serner et al AJSM 2015
Total 557 European professional players 2001-2010 seasons Incidence = 0.72; p = .98
Walden et al Scand J Med Sci Sports 2011
Disruption of complex Displacement of pyramidalis and proximal adductor
Pubic symphysis Prox adductor insertion Rectus insertion/border Inguinal canal Dilated superficial ring
Dedicated MRI pelvis
Axial oblique Saggittal
Schilders JBJS 2009
Thigh ecchymosis
Medial and posterior
Antalgic gait Weak resisted Adduction in extension and flexion
Srino Bharam MD, Daniel Feghhi MD, David A Porter MD
Series Cases Age Sex Number of Anchors Retraction Outcomes Bharam et. al, in prep 6 39 M 3.2 2.8 cm mHHS, HOS, VAS, Patient Satisfaction Rizio et. al, 2004 2 27.5 M 2 No report No report Vogt et. al, 2004 1 43 M 2 3 cm No report Dimitrakopo ulou et. al, 2008 2 25.5 M 6.5 4 cm No report Schlegel et. al, 2009 5 27.2 M Not listed 2.4 cm No report
Groin injuries can
FAI symptoms Predominantly male athletes Comprehensive History and Exam!