title: Multicenter Outcomes of Endoscopic Pubic Symphysectomy for Osteitis Pubis Associated With Femoroacetabular Impingement.
abstract: OBJECTIVE
  To investigate outcomes of athletic patients treated with concurrent femoroacetabular impingement (FAI) and osteitis pubis (OP) surgery including endoscopic pubic symphysectomy.
  
  
  METHODS
  We performed a multicenter retrospective case series of 7 consecutive adult patients (4 men) with a mean age of 33 years with symptomatic FAI and OP who underwent arthroscopic surgery for the former and endoscopic pubic symphysectomy for the latter with a mean follow-up period of 2.9 years (range, 2.0 to 5.0 years). The visual analog scale (VAS) score, the Non-Arthritic Hip Score (NAHS), and patient satisfaction were measured. Complications and revision surgical procedures were reported, and preoperative and postoperative radiographs were assessed.
  
  
  RESULTS
  The mean preoperative VAS score of 6.7 (range, 4 to 8) improved to a mean postoperative VAS score of 1.5 (range, 0 to 7) (P = .03). The mean preoperative NAHS of 50.2 points (range, 21 to 78 points) improved to a mean postoperative NAHS of 84.7 points (range, 41 to 99 points) (P = .03). The mean patient satisfaction rating was 8.3 (range, 3 to 10). Two male patients had postoperative scrotal swelling that resolved spontaneously. There were no other complications. Preoperative and postoperative radiographs showed no anterior or posterior pelvic ring instability. One patient underwent pubic symphyseal arthrodesis because of continued pain.
  
  
  CONCLUSIONS
  Endoscopic pubic symphysectomy is a minimally invasive treatment for athletic OP with encouraging early outcomes that may be performed concurrently with surgery for FAI in co-afflicted patients.
  
  
  METHODS
  Level IV, therapeutic case series.
authors.affiliation: Kaiser West Los Angeles Medical Center, Los Angeles, California, U.S.A.. Electronic address: dean.k.matsuda@kp.org.
authors.forename: Dean K
authors.initials: DK
authors.lastname: Matsuda
authors.affiliation: University Hospital Dexeus, Barcelona, Spain.
authors.forename: Manel
authors.initials: M
authors.lastname: Ribas
authors.affiliation: Westchester Enriched Science High School, Los Angeles, California, U.S.A.
authors.forename: Nicole A
authors.initials: NA
authors.lastname: Matsuda
authors.affiliation: Hinsdale Orthopaedics, Hinsdale, Illinois, U.S.A.
authors.forename: Benjamin G
authors.initials: BG
authors.lastname: Domb
mesh_terms: D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D057925:Femoracetabular Impingement / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010000:Osteitis / Q000150:complications / Q000601:surgery*; D017060:Patient Satisfaction; D011184:Postoperative Period; D011630:Pubic Bone / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome