Complete rupture of the hamstring origin from a water skiing injury

Blasier, Ralph B.; Morawa, Lawrence G.

doi:10.1177/036354659001800419

Cited by 93 publications

(51 citation statements)

References 12 publications

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“…The typical injury is predominantly described as occurring in water skiing while attempting to get up on the skis from a submerged position or secondary to a fall [3,16]. Generally, the mechanism of trauma is a motion leading to hyperstretching of the hamstringsoften in combination with simultaneous voluntary contraction of the ischiocrural muscles.…”

Section: Discussionmentioning

confidence: 99%

Functional assessment after acute and chronic complete ruptures of the proximal hamstring tendons

Brucker

Imhoff²

2004

Knee Surg Sports Traumatol Arthrosc

133

137

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Nonoperative treatment of acute or chronic complete ruptures of the proximal hamstring tendons leads to functional impairment in sports activities. The objective of the study was to evaluate the functional status after primary and delayed surgical treatment including objective (isokinetic hamstring and quadriceps muscle testing, hamstring flexibility) and subjective parameters (overall satisfaction, postoperative sports level). A total of eight patients (six male, two female) with an average age of 40.0 years (range 23-60) were treated operatively by refixation of the ruptured tendons in anatomical position using a suture anchor system. Six patients were treated within 3 weeks after trauma, while two patients were operated after delayed diagnosis of more than 2 months. The average clinical follow-up was 33.3 months (range 12-59). Overall, at minimum follow-up of 20 months, all patients were satisfied with the functional outcome and would undergo operative treatment again. At follow-up, seven patients could return to their preinjury sports level. In two patients, however, we noticed a delayed return to preinjury sports level of more than 24 months. The peak torque of the operated hamstrings in isokinetic muscle testing was 88.3% (range 62.9-113.8), as compared to the contralateral extremity. The ratio of hamstring to quadriceps muscle strength was on average 0.55 (range 0.44-0.66; injured side) versus 0.61 (range 0.52-0.68; uninjured side). Measurement of hamstring flexibility showed no difference to the contralateral hamstrings. In cases of timely diagnosis, surgical treatment is the standard treatment for complete ruptures of the proximal hamstring tendons in patients with ambitions inclined toward sports. The suture anchor system implements an elegant and effective technique for the treatment of such lesions.

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Section: Discussionmentioning

confidence: 99%

Functional assessment after acute and chronic complete ruptures of the proximal hamstring tendons

Brucker

Imhoff²

2004

Knee Surg Sports Traumatol Arthrosc

133

137

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“…Water skiers are at high risk of avulsion injury [58], where gluteal muscle injury, including rupture, is an associated finding [59,60]. Plain radiographs are initially performed in order to exclude osseous injury.…”

Section: Avulsionmentioning

confidence: 99%

Imaging of hamstring injuries: therapeutic implications

Koulouris

Connell

2006

Eur Radiol

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Though recent research into the diagnosis and management of hamstring disorders has resulted in early and accurate recognition of injury, hamstring strain remains the most common form of muscle injury in the active population. With prompt recognition of hamstring strain, an appropriate rest and rehabilitation routine may be devised by the sports clinician in the hope of avoiding future and possibly more debilitating injury. As such, imaging has played a pivotal role in assisting athletes, both elite and recreational, in returning to activity expeditiously.

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“…The intraosseous application allows optimal adaptation to the ischial tuberosity. In addition, 6 weeks seems to be an appropriate period of time to mobilization, although the reported period has varied between 2 and 8 weeks [7][8][9][28][29][30][31]. The outcome of the operative treatment revealed patients who had resumed the activities of daily living without any loss of functionality.…”

Section: Discussionmentioning

confidence: 99%