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Stony Brook Orthopaedic and Musculoskeletal Journal

Keywords

Core muscle injury, sports hernia

Abstract

Background: Core muscle injury can cause significant dysfunction in athletes. A variety of surgical procedures have been described. This study examines an orthopaedic and general surgeon’s technique and patient reported outcomes of adductor tenotomy and rectus abdominus imbrication with ilioinguinal nerve neurolysis.

Hypothesis: Surgical treatment of core muscle injuries with adductor tenotomy and rectus abdominus imbrication with ilioinguinal nerve neurolysis will result in decreased symptoms and high rates of return to play.

Study Design: Operative technique; retrospective case series.

Methods: Our electronic medical record system was searched for patients who underwent core muscle injury surgery by the treating surgeons. The patients were contacted for Hip Outcome Score (HOS) and return-to-play data. Patients that were diagnosed with a core muscle injury refractory to 6 to 12 weeks of conservative management were indicated for adductor tenotomy and rectus abdominus imbrication with ilioinguinal nerve neurolysis.

Results: Of the 20 patients who met the inclusion criteria,15 were contacted. 87% were able to return to play at a mean of 3 .7 months. There were no reported complications.

Conclusion: Adductor tenotomy and rectus abdominus imbrication with ilioinguinal nerve neurolysis is a safe and effective technique for patients diagnosed with a core muscle injury. Most patients return to high rates of return to play with high levels of hip function satisfaction.

Disclosure Statement

None of the authors has any funding sources, commercial, or financial conflicts of interest to declare.

Corresponding Author

James Penna, MD

james.penna@stonybrookmedicine.edu

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