Proximal Hamstring Tendinosis and Partial Ruptures

Startzman, Ashley; Fowler, Oliver; Carreira, Dominic S.

doi:10.3928/01477447-20170208-05

Cited by 9 publications

(13 citation statements)

References 37 publications

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“…We are not aware of any reports in the literature about Regeneten augmentation for proximal hamstring repairs to date. These can be difficult injuries to manage [3,5,25]. On average, it takes up to six months for conservatively managed patients to fully recover, while in 20% of patients, symptoms persist and become refractory to nonsurgical modalities [26].…”

Section: Discussionmentioning

confidence: 99%

“…In a cohort of 25 patients with partial-thickness tears who were managed with nonoperative treatment, 40% of the patients eventually required surgical intervention due to refractory pain or limited function [27]. In a systematic review, 99% of patients (n=266) with surgically treated proximal hamstring tendinosis and partial tears were able to return to sports [5], though in some cases recovery was protracted, and some athletes experienced residual symptoms [28][29][30]. In the series reported by Bowman et al, athletes began "gentle sport-specific activities" at 12 weeks, with an unrestricted return to activity delayed till six months.…”

Section: Discussionmentioning

confidence: 99%

“…Proximal hamstring tendinopathies occur more frequently in runners and soccer players [2][3]. In both cases, a trial of conservative treatment is warranted, consisting of activity modification, nonsteroidal antiinflammatory drugs (NSAIDs), and physiotherapy [4][5]. While nonoperative strategies may be successful in a majority of cases, approximately 25-30% of patients are unable to return to their sport with conservative measures alone and may benefit from surgical debridement and repair [6][7].…”

Section: Introductionmentioning

confidence: 99%

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Bioinductive Collagen Implant Augmentation for the Repair of Chronic Lower Extremity Tendinopathies: A Report of Two Cases

Looney¹,

Fortier²,

Leider³

et al. 2021

Cureus

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In this report, we present two cases of refractory chronic lower extremity tendinopathies treated with collagen bioinductive implant augmentation: a 20-year-old male football player with chronic patellar tendinopathy and a 40-year-old active female with chronic proximal hamstring tendinopathy. We demonstrate that bioaugmentation may represent an effective strategy in the surgical treatment of chronic tendinopathies. Both patients were able to return to their pre-injury activity levels at an accelerated rate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bioinductive Collagen Implant Augmentation for the Repair of Chronic Lower Extremity Tendinopathies: A Report of Two Cases

Looney¹,

Fortier²,

Leider³

et al. 2021

Cureus

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“…Ultrasound and shock wave therapies are proposed in case of persistent pain. In third intention, corticosteroid or platelet rich plasma injections may be proposed (24). In case of failure of these medical therapeutics, surgery remains possible (13,14).…”

Section: Introductionmentioning

confidence: 99%

“…Seven patients were evaluated once, 5 patients twice and 4 patients 3 times. The large number of isokinetic evaluations enabled us to assess the evolution of the hamstring strength deficits at4,12,24,36 and 100 months from the injury(Figure 1).Five patients were evaluated at 4.2 +/-1.2 months, 6 at 12.8 +/-2.0 months, 5 at 24.5 +/-2.1 months, 6 at 35.0 +/-8.1 months and 7 at 101.0 +/-30.5 months.…”

mentioning

confidence: 99%

Evolution of isokinetic strength and return to sport after proximal hamstring rupture without surgical repair: a retrospective series of cases.

Mesland

Guillodo

et al. 2019

Muscle Ligaments and Tendons J

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Introduction. Proximal ruptures of hamstrings are rare. Their evolution in absence of surgery is relatively unknown. We aimed to describe the evolution of patients with non-operated proximal hamstring ruptures, in terms of strength recovery, self-satisfaction and return to sport. Methods. We included retrospectively 16 patients addressed for isokinetic strength evaluation of the hamstrings after non-operated unilateral proximal rupture. Isokinetic strength assessment was performed between 4 and 100 months after injury and subjective scores were performed at the last follow-up. The concentric evaluation was performed with 3 repetitions at 60°/s followed by 5 repetitions at 180°/s. The eccentric mode was evaluated by 5 repetitions at 60°/s followed by 5 repetitions at 120°/s. Results. All the patients went back to sport, with a mean time of 7.0 +/-2.9 months, to the same level of practice or to a lower level. The Tegner score was decreased from 6.9 +/-1.7 to 6.1 +/-1.9 (p = 0.03). Fifteen patients were very satisfied or satisfied and subjective scores were high. Four months after the injury, the concentric strength deficit was 40% +/-25 and decrease to 25% +/-12 at 2 years. Yet, eccentric deficit persisted in time. Conclusion. Subjective results were good despite a persistence of an isokinetic strength deficit.

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Musculoskeletal mimics for lumbosacral radiculopathy. Part 2: Specific disorders

Jorgensen,

Chiodo

2024

Muscle and Nerve

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Lumbosacral radiculopathy is a common disorder evaluated by the electrodiagnostic medicine (EDX) consultant. Making this task difficult is the abundance of radiculopathy mimics. Peripheral neurologic mimics are common, but musculoskeletal mimics are not rare and may be less familiar to many EDX consultants. Awareness of the most common musculoskeletal mimickers—particularly key historical and physical examination features that can distinguish them from radiculopathies—can lead to an accurate diagnosis for the patient and referring provider. Part 1 of this monograph covered theoretical issues surrounding why radiculopathy mimics occur. This second part reviews the most common musculoskeletal mimics, including facet arthropathy, myofascial pain syndrome, hip pathology, greater trochanteric pain syndrome, piriformis syndrome, sacroiliac joint dysfunction, hamstring pathology, iliotibial band syndrome, and plantar fasciitis. Diagnosis of these musculoskeletal mimickers is complicated by nonspecific physical examination and imaging findings, and diagnostic injections are frequently necessary to confirm the diagnosis. Treatment for most mimickers includes physical therapy, anti‐inflammatory medications, guided injections, and other conservative measures, only rarely followed by surgical intervention. EDX consultants can efficiently incorporate a few high‐yield maneuvers into their physical examination based on the location of the pain to provide answers to patients presenting with a musculoskeletal mimic of a lumbosacral radiculopathy.

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Proximal Hamstring Tendinosis and Partial Ruptures

Cited by 9 publications

References 37 publications

Bioinductive Collagen Implant Augmentation for the Repair of Chronic Lower Extremity Tendinopathies: A Report of Two Cases

Bioinductive Collagen Implant Augmentation for the Repair of Chronic Lower Extremity Tendinopathies: A Report of Two Cases

Evolution of isokinetic strength and return to sport after proximal hamstring rupture without surgical repair: a retrospective series of cases.

Musculoskeletal mimics for lumbosacral radiculopathy. Part 2: Specific disorders

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