Matsuda Dean K, Matsuda Nicole A, Head Rachel, Tivorsak Tanya
DISC Sports and Spine, Marina del Rey, California, U.S.A.
University of California, Davis, California, U.S.A.
Arthrosc Tech. 2017 Feb 13;6(1):e183-e188. doi: 10.1016/j.eats.2016.09.022. eCollection 2017 Feb.
Review of the English orthopaedic literature reveals no prior report of endoscopic repair of rectus abdominis tears and/or prepubic aponeurosis detachment. This technical report describes endoscopic reattachment of an avulsed prepubic aponeurosis and endoscopic repair of a vertical rectus abdominis tear immediately after endoscopic pubic symphysectomy for coexistent recalcitrant osteitis pubis as a single-stage outpatient surgery. Endoscopic rectus abdominis repair and prepubic aponeurosis repair are feasible surgeries that complement endoscopic pubic symphysectomy for patients with concurrent osteitis pubis and expand the less invasive options for patients with athletic pubalgia.
对英文骨科文献的回顾显示，此前尚无关于内镜修复腹直肌撕裂和/或耻骨前腱膜分离的报道。本技术报告描述了在内镜下耻骨联合切除术后立即对撕脱的耻骨前腱膜进行内镜重新附着以及对垂直腹直肌撕裂进行内镜修复，该手术用于治疗并存的顽固性耻骨炎，作为一种单阶段门诊手术。内镜下腹直肌修复和耻骨前腱膜修复是可行的手术，可作为内镜耻骨联合切除术的补充，用于并发耻骨炎的患者，为运动性耻骨痛患者提供更多微创选择。
