Isolated complete rupture of distal biceps femoris tendon following a motor vehicle accident: A case report and review of the literature

Papadakis, Stamatios A.; Ampadiotaki, Margarita-Michaela; Pallis, Dimitrios; Tsivelekas, Konstantinos; Nikolaou, Stefania; Kokkinis, Constantinos; Tilentzoglou, Anastasia C.

doi:10.1016/j.tcr.2023.100762

Cited by 1 publication

(1 citation statement)

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“…Despite growing awareness and attention to injury in recent years, early diagnosis of distal tears remains disproportionately low [24]. A good medical history, clinical examination and magnetic resonance imaging are the mainstay for the diagnosis to avoid delayed treatment, which can result in proximal muscle retraction and atrophy of the muscle belly, leading to a more demanding and complex surgery [12, 33, 40]. Although previous studies have suggested that athletes with distal semitendinosus tendon treated conservatively returned faster to sports than those undergoing surgical repair, further study is necessary to assess how treatment options and tear location impact clinical outcomes [27].…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of distal hamstring tendon injuries yield a higher return‐to‐sports rate: A systematic review

Marín Fermín,

Aminake,

Vasiliadis

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe purpose of this study is to compare the patient‐reported outcomes and return to sports of the conservative and surgical treatment of distal hamstring tendon injuries.MethodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, two reviewers searched PubMed, Scopus and Virtual Health Library databases in January 2023. Clinical studies evaluating conservative or surgical management outcomes of distal hamstring tendon injuries were considered eligible for this systematic review if predefined criteria were fulfilled: (1) published in English or Spanish; (2) evaluated any of the following: patient‐reported outcomes, return‐to‐sports rate (RTS‐R) or return‐to‐sports time (RTS‐T). Data were presented in tables using absolute values from individual studies and derived pooled percentages.ResultsEighteen studies were included for 67 patients and 68 distal hamstring tendon injuries. Initially, 39 patients (58.2%) underwent surgical treatment, whereas 28 (41.8%) were treated conservatively. Among conservative treatment patients, 15 failed and had to be operated on (53.6%), all with distal semitendinosus tendon injuries. Anchor fixation was the technique of choice in 20 lesions (36.4%), tenodesis in 16 (29.1%), tenectomy in 14 (25.5%) and sutures were preferred in five (9%). Thirteen out of 28 patients (46.4%) undergoing initial conservative treatment returned to sports at a mean of 3.6 months (range 1 week to 12 months), in contrast to surgical treatment, in which 36 out of 39 patients (92.3%) returned at a mean of 4.2 months (range 6 weeks to 12 months). Additionally, 14 of 15 patients (93.3%) converted to surgical treatment after failed conservative treatment returned to sports at a mean of 7.6 months after injury.ConclusionInitial surgical treatment of distal hamstring tendon injuries yields a high RTS‐R (92.3%) at a mean of 4.2 months. Furthermore, 15 out of 28 patients (53.6%) initially treated conservatively had to be operated on, delaying the RTS‐T (mean 7.6 months after injury) without affecting their RTS‐R.Level of EvidenceIV.

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Section: Introductionmentioning

confidence: 99%