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Sports hernia repair with adductor tenotomy
1Department of Surgery, The George Washington University, 2150 Pennsylvania Ave, NW, Suite 6B, Washington, DC, 20037, USA.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|August 8, 2016
Summary
This study shows that a suture repair and tenotomy technique for sports hernias (athletic pubalgia) effectively treats athletes. All patients returned to high-level sports without needing further surgery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Athletic Injuries
Background:
- Sports hernias, also known as athletic pubalgia, are common in athletes and involve injuries to the inguinal region near the pubic bone.
- Current management strategies for sports hernias are diverse, with limited detailed descriptions of rectus and adductor tenotomy procedures.
Purpose of the Study:
- To demonstrate a surgical technique for sports hernias involving suture repair and rectus and adductor longus tenotomy.
- To provide a standardized approach for managing athletic pubalgia.
Main Methods:
- 22 patients with MRI-confirmed sports hernias and rectus/adductor tendonitis underwent suture herniorrhaphy with adductor tenotomy.
- The procedure utilized a 4-cm incision, releasing the rectus abdominis and performing an adductor tenotomy to alleviate opposing forces on the pubic bone.
Main Results:
- All 22 patients successfully returned to their sports at a high level of performance.
- No patients required subsequent surgical intervention after the procedure.
Conclusions:
- Tenotomies combined with herniorrhaphy may enhance outcomes for athletes with confirmed rectus and adductor longus injuries.
- Suture repair of the inguinal floor can prevent mesh-related complications, particularly in young athletes.
