Surgical Repair of Complete Proximal Hamstring Tendon Rupture

Klingele, Kevin E.; Sallay, Peter I.

doi:10.1177/03635465020300051901

Cited by 169 publications

(180 citation statements)

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“…Recent reports in the literature suggest successful outcomes for complete proximal hamstring tears following acute and chronic repair [4,5,8]. Nonoperative management is associated with poor outcomes and low rate of return to sports [9,11].…”

Section: Discussionmentioning

confidence: 99%

Successful return to high level sports following early surgical repair of complete tears of the proximal hamstring tendons

Konan

Haddad

2009

International Orthopaedics (SICOT)

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The purpose of this study was to investigate the outcome of surgical management of acute complete proximal hamstring tendon tears. This was a prospective review of a case series from a tertiary referral centre. Ten patients presenting with complete proximal hamstring tendon tears were confirmed on MRI. All patients underwent surgical exploration and repair of the torn tendons with the aim of returning to normal activities and sports. Isokinetic muscle testing was performed using a dynamometer. The Cybex dynamometer (Cybex International, Ronkonkowa, NY) testing revealed almost comparable readings for the operated versus the nonoperated side. An average peak torque of the operated hamstring muscles of 82.78% (range 47.16-117.88%), compared to the contralateral leg, was noted at six months. An excellent outcome was found in terms of return to normal activities and sports. Early surgical repair and physiotherapy has been noted to be associated with a good outcome and enables an early return to high level sports after complete tear of the proximal hamstring tendons.

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Section: Discussionmentioning

confidence: 99%

Successful return to high level sports following early surgical repair of complete tears of the proximal hamstring tendons

Konan

Haddad

2009

International Orthopaedics (SICOT)

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“…The small numbers of published studies contain both acute and chronic tears and include a relatively small number of patients. [2][3][4][5][6][7] The findings in these studies are summarized in table 1.…”

Section: Review Of Literaturementioning

confidence: 95%

“…Proper treatment includes a thorough evaluation and discussion with the patient regarding treatment options. Many of the series reported in the literature of proximal hamstring repair contain few patients, with the largest series of acute repairs consisting of 7 patients [2].…”

Section: Overviewmentioning

confidence: 99%

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Acute Proximal Hamstring Rupture

Cohen

Bradley

2007

Journal of the American Academy of Orthopaedic Surgeons

225

233

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“…Injuries at the hamstring origin are rare when considered alongside mid-substance hamstring muscle ruptures, 2 and it may be for this reason that, both in the authors' experience and in the cases of several patients cited in the literature, [3][4][5][6] a delay in diagnosis is common. While a muscle rupture is treated with non-operative measures, we feel that displaced fractures of the ischium or ischial apophysis are best treated operatively in the acute setting.…”

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confidence: 99%

Avulsion Injuries of the Hamstring Origin – A Series of 12 Patients and Management Algorithm

Gidwani

Bircher

2007

annals

118

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INTRODUCTION Injuries to the origin of the hamstring muscles usually occur in athletes and can result in an avulsion fracture of the ischium, an avulsion of the ischial apophysis, or a pure avulsion of the hamstring tendons themselves, depending on the patient's age. These are rare injuries in the general population and are often initially misdiagnosed as a simple 'hamstring pull', leading to the development of chronic pain and disability.PATIENTS AND METHODS We present a retrospective case series of the 12 patients with such injuries who presented or were referred consecutively to the senior author between 1997 and 2006.RESULTS There was a significant delay (5 months to 12 years) in the diagnosis of the injury in 8 of the 12 patients. Five of these 8 patients required more extensive surgery than would otherwise have been required as a result of this delay, but all recovered well. The sporting career of one of the remaining three patients had already been brought to an end by her injury and the subsequent disability, and she elected not to have surgery. Of the four patients who were diagnosed acutely, three required surgery, and all four had an excellent result.CONCLUSIONS Injuries to the hamstring origin are rare and are often initially misdiagnosed as a simple 'hamstring pull', leading to the development of chronic pain and disability. Displaced injuries of the ischial apophysis and pure tendon avulsions are probably best treated surgically in the acute setting. As a result of our experience with these patients, we have produced a management algorithm.

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Surgical Repair of Complete Proximal Hamstring Tendon Rupture

Abstract: Satisfactory results can be achieved with both early and late hamstring tendon repairs in a majority of cases with surgical repair.

Cited by 169 publications

References 14 publications

Successful return to high level sports following early surgical repair of complete tears of the proximal hamstring tendons

Successful return to high level sports following early surgical repair of complete tears of the proximal hamstring tendons

Acute Proximal Hamstring Rupture

Avulsion Injuries of the Hamstring Origin – A Series of 12 Patients and Management Algorithm

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