Early Surgical Repair of Acute Complete Rupture of the Proximal Hamstring Tendons

Abstract

Hamstring injuries are common forms of muscle strains in athletes but a complete rupture of a proximal hamstring origin is rare. Often there is a considerable delay in diagnosis and stringent treatment because of its rarity, difficulty in clinical diagnosis, and initial attempts of conservative care. We report two cases of acute complete rupture of the proximal hamstring tendons treated with early surgical repair. The diagnosis and treatment of this unusual injury are discussed.

Returning to sports after surgical repair of acute proximal hamstring ruptures

“…Furthermore, this is one of the largest studies to analyze acute ruptures alone. There were 2 cases of acute ruptures reported by Kwak et al [15], 6/8 in the study by Bucker and Imoff [3], 9/23 in the study by Birmingham et al [2], 14/41 in the series by Sarimo et al [22] and 21/26 in that by Folsom and Larson [9].…”

A qualitative and quantitative analysis of the attachment sites of the proximal hamstrings

“…Several studies have been published reporting the use of open surgical techniques to repair the complete proximal hamstring avulsion [7, 17, 20, 30, 32, 33, 35, 38]. Recently, it has been postulated that endoscopic repair of proximal hamstring injuries may represent a safe, reliable, and less invasive alternative to open surgery [25, 26].…”

Complete proximal hamstring avulsions: is there a role for conservative management? A systematic review of acute repairs and non-operative management

“…The sports identified in these studies were as follows: (70) waterskiing,4 19 24 26 (36) rugby,4 24 25 (19) soccer,4 20 23 (10) martial arts,4 21–24 26 (6) skiing,4 25 (3) running,4 (2) baseball,26 (2) football,25 (2) netball,4 (2) gymnastics,4 (2) lacrosse,4 (2) equestrian,4 (2) bull riding,14 (1) basketball,24 (1) softball,24 (1) track and field,4 (1) dance,4 (1) race walking26 and (1) hockey 4…”