Distal Avulsion of the Semitendinosus Tendon: A Case Report

Kelly, Thomas P.; Gultekin, Sinem; Cross, Tom; Feller, Julian A.

doi:10.1177/2325967119873843

Cited by 7 publications

(23 citation statements)

References 15 publications

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“…Within the literature, 15 of 29 (52%) reported cases of distal semitendinosus hamstring injuries that were surgically managed were refractory to at least 3 months of nonoperative management. 2 , 5 , 12 , 22 , 26 , 30 , 35 Within our cohort, 4 patients failed nonoperative management therefore requiring surgical intervention.…”

Section: Discussionmentioning

confidence: 92%

Efficacy of Surgical Tenodesis for Treatment of Distal Semitendinosus Hamstring Tendon Injuries

Thompson

Plastow

Kayani

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Understanding the optimal management of distal semitendinosus hamstring injuries is critical for reducing pain, restoring preinjury function, maintaining knee stability, improving hamstring muscle strength, and minimizing the risk of complications and recurrence. To our knowledge, the outcomes of surgical tenodesis for distal semitendinosus hamstring injuries have not been previously reported. Hypothesis: Surgical tenodesis for injuries of the semitendinosus would enable return to preinjury level of sport with low risk of recurrence. Study Design: Case series; Level of evidence, 4. Methods: This prospective single-surgeon study included 13 professional athletes (12 men, 1 woman; mean age, 32 ± 8.2 years; mean body mass index, 26.7 ± 3.9 kg/m2) undergoing treatment for distal semitendinosus hamstring injuries with primary tenodesis to the distal semimembranosus. Indications for surgical tenodesis included distal semitendinosus tendon avulsion injury (n = 8) or residual tendon instability and hamstring weakness after semitendinosus graft harvest for anterior cruciate ligament reconstruction (n = 5). All study patients underwent a standardized postoperative rehabilitation program. The primary outcome was defined as time for return to sporting activity. Secondary outcomes were patient satisfaction, injury recurrence, and complications. The mean follow-up time was 17 months (range, 12-24 months) from date of surgery. Results: All study patients returned to their preinjury level of sporting activity. The mean time from the surgical intervention to return to full sporting activity was 15 ± 4.6 weeks. At 1-year follow-up, all study patients were still participating at their preinjury level of sporting activity, and 12 patients (92%) were very satisfied and 1 patient (8%) was satisfied about the outcomes of their surgery. No study patients had recurrence of the primary injury. No surgical complications, injury recurrence, or reoperations were observed within the follow-up period. Conclusion: Early return to sporting activity was seen after surgical tenodesis for distal semitendinosus hamstring injuries after acute trauma or residual symptoms following previous hamstring graft harvest, with high levels of patient satisfaction and low risk of recurrence at short-term follow-up.

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Section: Discussionmentioning

confidence: 92%

Efficacy of Surgical Tenodesis for Treatment of Distal Semitendinosus Hamstring Tendon Injuries

Thompson

Plastow

Kayani

et al. 2021

Orthopaedic Journal of Sports Medicine

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“…The patient returned to competition at 9 weeks post-operative with no complication. The authors determined that repair of the tendon was possible and associated with an expeditious return to play [9] . Schilders reported the case of 4 athletes with partial semitendinosus rupture.…”

Section: Discussionmentioning

confidence: 99%

“…Cooper and Conway described a posteromedial approach over the semitendinosus tendon for resection [8] . Kelly was the only study that described a primary repair, and this occurred with an anteromedial approach overlying the pes anserine region [9] . The surgical approach is surgeon dependent and may also be determined by the anatomical location of the proximal tendon.…”

Section: Discussionmentioning

confidence: 99%

Distal Semitendinosus Rupture in a Rugby Union Player: an Algorithmic Approach to Assist Treatment Decision

Karmakar¹

2020

International Journal of Orthopaedics

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Section: Semimembranosus and Semitendinosusmentioning

confidence: 99%

“…Injury to the distal semitendinosus can also result in substantial morbidity, with treatment options including both surgical repair and tenotomy 45 . Kelly et al reported the case of a 29-year-old patient who sustained a distal semitendinosus avulsion during an Australian Football League match, which was successfully treated with direct, early surgical repair 45 . In contrast, Rebolledo et al described a surgical technique to excise the injured distal semitendinosus for early return to play; the authors argued that eliminating fibrous adhesions and resecting the diseased tendon prevents excessive scarring, with quicker return to play 46 .…”

Section: Semimembranosus and Semitendinosusmentioning

confidence: 99%

Distal Hamstring Muscle Injuries

et al. 2022

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Distal hamstring muscle injuries, although relatively uncommon, can potentially lead to substantial morbidity in athletes; prolonged rehabilitation times and high rates of reoccurrence have been documented.Overall, magnetic resonance imaging is considered the “gold standard” for evaluation of hamstring injuries because it allows assessment for concomitant pathology and can clarify return-to-sport timelines.Complete tears of the distal biceps femoris and semimembranosus muscles respond well to surgical repair, whereas complete tears of the distal semitendinosus can be successfully treated nonoperatively or with surgical resection.Future research may be necessary to further optimize treatment of these injuries and to determine the efficacy of biologic adjuvant therapy.

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Distal Avulsion of the Semitendinosus Tendon: A Case Report

Cited by 7 publications

References 15 publications

Efficacy of Surgical Tenodesis for Treatment of Distal Semitendinosus Hamstring Tendon Injuries

Efficacy of Surgical Tenodesis for Treatment of Distal Semitendinosus Hamstring Tendon Injuries

Distal Semitendinosus Rupture in a Rugby Union Player: an Algorithmic Approach to Assist Treatment Decision

Distal Hamstring Muscle Injuries

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