Scillia Anthony J, Pierce Todd P, Simone Erica, Novak Richard C, Emblom Benton A
Department of Orthopaedics, School of Health and Medical Sciences, Seton Hall University, South Orange, New Jersey, U.S.A.
Department of General Surgery, Baylor Medical Center, Fort Worth, Texas, U.S.A.
Arthrosc Tech. 2017 Aug 14;6(4):e1281-e1284. doi: 10.1016/j.eats.2017.05.006. eCollection 2017 Aug.
One cause of groin pain in highly active patients may be a core muscle injury, commonly referred to as sports hernia. When patients fail nonoperative management, there are a number of surgical options that may be pursued. Typically, they will involve the direct repair of the rectus abdominis back to the pubis. However, we believe that this repair can be further strengthened by the appropriate lengthening of the adductor longus from the conjoined tendon. Therefore, we present a surgical technique that involves both rectus abdominis repair and adductor longus lengthening in those who show a core muscle injury that is refractory to conservative management. We believe that this technique can be easily replicated by practitioners reading this Technical Note.
在运动量大的患者中，腹股沟疼痛的一个原因可能是核心肌肉损伤，通常称为运动性疝。当患者非手术治疗失败时，可以采用多种手术选择。通常，这些手术会包括将腹直肌直接修复至耻骨。然而，我们认为通过从联合腱适当延长长收肌，可以进一步加强这种修复。因此，我们提出一种手术技术，对于那些核心肌肉损伤经保守治疗无效的患者，该技术包括腹直肌修复和长收肌延长。我们相信阅读本技术说明的从业者可以轻松复制这种技术。
