{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T02:30:05Z","timestamp":1793845805854,"version":"4.6.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"13","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Women's College Hospital AHSC AFP Innovation Fund","award":["WCH-21-002"],"award-info":[{"award-number":["WCH-21-002"]}],"id":[{"id":"https:\/\/ror.org\/03cw63y62","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pudendal nerve palsy (PNP) is a poorly characterized and underreported postoperative complication of hip arthroscopy (HA) with a perineal post. PNP may result in external genital numbness and sexual dysfunction in both men and women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To describe the incidence, breadth, and duration of postoperative PNP symptoms and to evaluate the relationship between PNP and intraoperative limb traction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All patients underwent primary unilateral HA in a supine position with a perineal post. Patients with preexisting PNP symptoms, including sexual dysfunction, were excluded. Intraoperative traction duration and force were recorded using a sensor applied to the perineal post. A PNP screening questionnaire and validated sexual function questionnaires were administered confidentially at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months postoperatively. Patient-reported hip outcomes (International Hip Outcome Tool\u201333 [iHOT-33]) were completed preoperatively and at 6 and 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 93 patients were included (mean age, 36.4 years [SD, 9.2 years]; 55% male). The mean traction duration was 80 minutes (SD, 19 minutes). In the acute postoperative period, 77 (83%) patients experienced symptoms consistent with PNP. The most common symptoms were perineal numbness (75%), paresthesia (26%), and pain (18%). Urogenital or sexual dysfunction occurred in 39%, including erectile dysfunction in 22% of men and reduced sexual lubrication in 19% of women. At 3 months postoperatively, 26% of patients continued to have PNP symptoms, with 14% persisting to at least 6 months; all symptoms resolved by 12 months. Patients with PNP had greater traction force (MD, 18.1 kg; 95% CI, 0.3 to 37.1 kg) and longer traction time (MD, 15.4 minutes; 95% CI, 5.5 to 25.3 minutes). Longer traction duration was associated with increased odds of PNP (OR per additional 10 minutes, 1.59; 95% CI, 1.12 to 2.37). Persistence of symptoms beyond 6 weeks was associated with lower iHOT-33 scores at 6 months (MD, \u221214.4; 95% CI, \u221224.2 to \u22124.5).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PNP symptoms were common after HA performed with perineal post traction, but most resolved within 6 months and all by 1 year. Increased traction duration and perineal pressure were significant predictors of symptom development, and persistent dysfunction correlated with lower hip-specific outcome scores.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465261485701","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:36:03Z","timestamp":1790757363000},"page":"3290-3298","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Incidence and Breadth of Postoperative Pudendal Nerve Palsy and Its Relationship to Table Traction During Hip Arthroscopy With a Perineal Post"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5114-6999","authenticated-orcid":false,"given":"Graeme","family":"Hoit","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Dwyer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"University of Toronto Orthopaedic Sports Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Women\u2019s College Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaskarndip","family":"Chahal","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"},{"name":"University of Toronto Orthopaedic Sports Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Women\u2019s College Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6185-2395","authenticated-orcid":false,"given":"Timothy A.","family":"Burkhart","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"University of Toronto Orthopaedic Sports Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Faculty of Kinesiology, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Curd","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shgufta","family":"Docter","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9209-6577","authenticated-orcid":false,"given":"Jordan","family":"Farag","sequence":"additional","affiliation":[{"name":"Department of Physiatry and Rehabilitation Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Theodoropoulos","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"University of Toronto Orthopaedic Sports Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Women\u2019s College Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel B.","family":"Whelan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"University of Toronto Orthopaedic Sports Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Women\u2019s College Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.10.053"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2024.103220"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.11.014"},{"key":"e_1_3_3_5_2","volume-title":"Gray\u2019s Anatomy for Students","author":"Drake RL","year":"2005","unstructured":"Drake RL. 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