Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Sports Medicine - Hip
Abstract number: 23216
ARTHROSCOPIC MANAGEMENT OF RECALCITRANT OSTEITIS PUBIS AND
BILATERAL FEMOROACETABULAR IMPINGEMENT
Dean MATSUDA
Kaiser Permanente, Los Angeles, California (UNITED STATES)
This is the first reported case describing the comprehensive arthroscopic treament of
bilateral femoroacetabular impingement and concurrent recalcitrant osteitis pubis.
The association of intra-articular hip pathology with central pubic pain is a recent
topic of interest in sports medicine often involving young athletic patients. We
describe this patient's clinical course after single-stage dual-portal bilateral
arthroscopic rim trimming, labral refixation and femoral osteoplasty surgery and an
expanded and well-illustrated technical note highlighting a completely endoscopic
pubic symphysectomy; we have professionally-edited video capture if desired for
podium presentation with orientation frames as well as a rationale for preservation of
the posterior and arcuate ligament. We then discuss the clinical outcome with 2 year
follow-up with pain relief and resolution of her pre-operative waddling gait, as well as
a healthy discussion about athletic pubalgia, especially as it may relate to
femoracetabular impingement. We conclude by suggesting that our endoscopic pubic
symphysectomy may not only benefit those patients with recalcitrant osteitis pubis,
but may also be an attractive alternative to possible prolonged and uncertain
conservative treatment in a specific subset of competitive athletes.
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