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Published on: May 26, 2023
Endoscopic Proximal Adductor Lengthening for Chronic Adductor-Related Groin Pain
Srino Bharam1, Priyal V Bhagat1, Moshe C Spira1
1Lenox Hill Hospital, New York, NY, U.S.A.
Abstract:
Proximal adductor injuries are relatively common groin injuries in athletes. Various tenotomy techniques have been described including open, partial, and percutaneous approaches. Current techniques help most athletes return to sport; however, many develop adductor weakness. Moreover, the procedures lack full visualization of the tendon and do not allow for return to athletes' preinjury level of play. We describe an endoscopic z-lengthening of the proximal adductor tendon with the potential to minimize complications associated with open procedures such as incisional pain and neurovascular injury while affording a more complete tenotomy than current percutaneous techniques. This is a safe and reproducible technique that allows for release of tension as a result of pathologic adductor tendon pathologies.
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