Endoscopic Repair of Proximal Adductor Avulsion

Optimal treatment of complete grade 3 tears of the adductor longus tendon from the pubic body has support for both nonsurgical management and surgical reattachment. We demonstrate the feasibility of endoscopic reattachment of an adductor avulsion with >3 cm of retraction. Using our previously described anterior pubic symphyseal portal and an anteromedial adductor portal, initial diagnostic endoscopy is followed by debridement of adhesions, preparation of the pubic body bony footprint, secure passage of suture tape through the avulsed tendon, reduction of the avulsed tendon, and knotless suture anchor reattachment. Endoscopic primary repair is a technically feasible, minimally invasive option in the treatment of retracted grade 3 adductor tears.