1. Endoscopic Pubic Symphysectomy for Athletic Osteitis Pubis
Dean K. Matsuda, M.D., Bantoo Sehgal, M.D., Nicole A. Matsuda 
Arthroscopy Techniques 
Volume 4, Issue 3, Pages e251-e254 (June 2015)
DOI: /j.eats
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Anterior and suprapubic portals for endoscopic pubic symphysectomy. The arthroscope is in the anterior portal. The surgeon's fingers are outlining the palpable superior and inferior borders of the pubic symphysis.
Arthroscopy Techniques 2015 4, e251-e254DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
Surgical setup. The patient is in the supine lithotomy position. The surgeon is positioned between the patient's legs, with the arthroscopic monitor at the head of the operating table. Initial blunt dissection begins at the anterior pubic symphysis with a switching stick in the suprapubic portal.
Arthroscopy Techniques 2015 4, e251-e254DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
Supine arthroscopic image with a 30° arthroscope through the suprapubic portal showing endoscopic pubic symphysectomy with a burr in the anterior portal. The hyaline endplates should be noted. This patient underwent endoscopic pubic symphysectomy after bilateral arthroscopic surgery for femoroacetabular impingement.
Arthroscopy Techniques 2015 4, e251-e254DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

5. Fig 4
Supine arthroscopic image from the anterior portal showing the use of an unsheathed burr through the suprapubic portal to perform deeper (posterior) pubic symphysectomy while not violating the posterior capsule or inferior arcuate ligament. This patient underwent endoscopic pubic symphysectomy after bilateral arthroscopic surgery for femoroacetabular impingement.
Arthroscopy Techniques 2015 4, e251-e254DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions