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Surgical Technique: Endoscopic Proximal Adductor Lengthening

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Proximal adductor injuries are relatively common groin injuries in athletes. Various tenotomy techniques have been described including open, partial, endoscopic, and percutaneous approaches. Current techniques have led to the majority of athletes returning to sport; however, many develop adductor weakness. Moreover, many of these procedures lack full visualization of the tendon and do not allow for return to athletes’ preinjury level of play. In this chapter, 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 techniques (Bharam et al., Arthrosc Tech 7:e675–8, 2018).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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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Lenox Hill Hospital, New York Hip Preservation and Groin Center, New York, NY, USA

    Srino Bharam

  2. Department of Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA

    Priyal Vinod Bhagat

Authors
  1. Srino Bharam
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  2. Priyal Vinod Bhagat
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Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Bedi Asheesh

  3. Department of Orthopedic Surgery, Case Western Reserve University, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopedic Surgery, Duke Medical Center, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopedic Surgery, Weill Medical College of Cornell Univers, New York, NY, USA

    Bryan T. Kelly

Section Editor information

  1. Houston Methodist Center for Orthopaedics & Sports Medicine, Houston, TX, USA

    Joshua D. Harris

  2. Rush University Medical Center, Chicago, IL, USA

    Joshua D. Harris

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Bharam, S., Bhagat, P.V. (2021). Surgical Technique: Endoscopic Proximal Adductor Lengthening. In: Nho, S.J., Asheesh, B., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_139-1

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  • DOI: https://doi.org/10.1007/978-1-4614-7321-3_139-1

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7321-3

  • Online ISBN: 978-1-4614-7321-3

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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