Archives of Orthopaedic and Trauma Surgery

, Volume 134, Issue 11, pp 1595–1599 | Cite as

Arthroscopic pubic symphysis debridement and adductor enthesis repair in athletes with athletic pubalgia: technical note and video illustration

  • Sascha HoppEmail author
  • Masjudin Tumin
  • Peter Wilhelm
  • Tim Pohlemann
  • Jens Kelm
Arthroscopy and Sports Medicine


We elaborately describe our novel arthroscopic technique of the symphysis pubis in athletes with osteitis pubis and concomitant adductor enthesopathy who fail to conservative treatment modalities. The symphysis pubis is debrided arthroscopically and the degenerated origin of adductor tendon (enthesis) is excised and reattached. With our surgical procedure the stability of the symphysis pubis is successfully preserved and the adductor longus enthesopathy simultaneously addressed in the same setting.


Arthroscopy Pubic symphysis Osteitis pubis Debridement Adductor enthesopathy Athletes 


Conflict of interest

No conflicts of interest at all.

Supplementary material

Video 1 The video demonstrates the complete surgical procedure from cut to stitch. It is illustrated on the basis of a case of a young 24 year old competitive football player diagnosed with a degenerative osteitis pubis and a chronic proximal adductor longus enthesopathy on the right side. Soft tissue preparation in the groin as a precondition for the installation of the portals was emphasized in the video (WMV 256650 kb)


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Sascha Hopp
    • 1
    Email author
  • Masjudin Tumin
    • 2
  • Peter Wilhelm
    • 1
  • Tim Pohlemann
    • 1
  • Jens Kelm
    • 3
  1. 1.Department of Trauma, Hand and Reconstructive SurgeryUniversity of SaarlandHomburg/SaarGermany
  2. 2.Department of Orthopaedic and Trauma SurgerySultanah Aminah HospitalJohor BahruMalaysia
  3. 3.Center of general and Orthopedic SurgeryIllingenGermany

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