APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Endoscopic CMI Repair and Pubic Symphysis Excision

Endoscopic CMI Repair and Pubic Symphysis Excision

Video Transcription

Video Summary

Dr. Dean Matsuda discusses endoscopic core muscle injury repair and pubic symphysis excision for athletes experiencing groin and central pubic pain often related to femoral acetabular impingement (FAI) and athletic pubalgia. Central pubic pain may stem from osteitis pubis, adductor or rectus abdominis injuries, or inguinal deficiencies. Stress transfer from FAI can exacerbate pubic injuries. Diagnostic exams include injection response and imaging like the AP Flamingo view. Endoscopic pubic symphysectomy and repair of pubic plate disruptions offer minimally invasive solutions. Concurrent treatment of FAI and core injuries improves return-to-sport outcomes, emphasizing multidisciplinary approaches for optimal athlete care.

Asset Caption

Dean K. Matsuda, M.D.

Keywords

endoscopic core muscle injury repair

pubic symphysis excision

femoral acetabular impingement

athletic pubalgia

minimally invasive pubic symphysectomy