Validation of the Sydney Hamstring Origin Rupture Evaluation (SHORE)

French, Sofie R; Kaila, Rajiv; Munir, Selin; Wood, Donna J.

doi:10.1302/0301-620x.102b3.bjj-2019-0840.r1

Cited by 10 publications

(19 citation statements)

References 33 publications

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“…Patient-reported outcome measures and clinical outcome measures (COMs) are important tools for evaluation of the results of surgical treatment, and the heterogeneity of outcome measures leads to difficulties in comparison of different studies and therefore in generalization of the results. To date, only two clinical assessment tools have been validated specifically for outcomes of hamstring repair, PHAT [ 22 ] and SHORE [ 39 ]. These outcome measures are recently developed and validated specifically for evaluation of hamstring injuries, and there are only limited amount of studies that have used these tools.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of surgical intervention in the treatment of hamstring tendon ruptures: current evidence on the impact on patient outcomes

et al. 2022

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Hamstring injuries are among the most common muscle injuries. They have been reported in many different sports, such as running, soccer, track and field, rugby, and waterskiing. However, they are also present among the general population. Most hamstring injuries are mild strains, but also moderate and severe injuries occur. Hamstring injuries usually occur in rapid movements involving eccentric demands of the posterior thigh. Sprinting has been found to mainly affect the isolated proximal biceps femoris, whereas stretching-type injuries most often involve an isolated proximal injury of the semimembranosus muscle. The main cause of severe 2- or 3-tendon avulsion is a rapid forceful hip flexion with the ipsilateral knee extended. Most hamstring injuries are treated non-surgically with good results. However, there are also clear indications for surgical treatment, such as severe 2- or 3-tendon avulsions. In athletes, more aggressive recommendations concerning surgical treatment can be found. For a professional athlete, a proximal isolated tendon avulsion with clear retraction should be treated operatively regardless of the injured tendon. Surgical treatment has been found to have good results in severe injuries, especially if the avulsion injury is repaired in acute phase. In chronic hamstring injuries and recurring ruptures, the anatomical apposition of the retracted muscles is more difficult to be achieved. This review article analyses the outcomes of surgical treatment of hamstring ruptures. The present study confirms the previous knowledge that surgical treatment of hamstring tendon injuries causes good results with high satisfaction rates, both in complete and partial avulsions. Early surgical repair leads to better functional results with lower complication rates, especially in complete avulsions. KEY MESSAGEs Surgical treatment of hamstring tendon ruptures leads to high satisfaction and return to sport rates. Both complete and partial hamstring tendon ruptures have better results after acute surgical repair, when compared to cases treated surgically later. Athletes with hamstring tendon ruptures should be treated more aggressively with operative methods.

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Section: Discussionmentioning

confidence: 99%

A systematic review of surgical intervention in the treatment of hamstring tendon ruptures: current evidence on the impact on patient outcomes

et al. 2022

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“… 6 The PHAT, SHORE, and PHIQ were designed specifically to assess patients who sustained proximal hamstring injuries. 8 , 16 , 29 Of these, the PHAT and SHORE are the only validated proximal hamstring–specific PROMs. 8 , 16 However, the SHORE was validated by correlating its functional outcome scoring to that of the PHAT.…”

Section: Discussionmentioning

confidence: 99%

“… 8 , 16 , 29 Of these, the PHAT and SHORE are the only validated proximal hamstring–specific PROMs. 8 , 16 However, the SHORE was validated by correlating its functional outcome scoring to that of the PHAT. 16 Additionally, the PHAT is the most frequently used of these proximal hamstring–specific PROMs in the literature (6/34 included studies) and has been gaining recognition as the preferred PROM for proximal hamstring injury studies.…”

Section: Discussionmentioning

confidence: 99%

“… 17 Previous studies on proximal hamstring avulsions have relied on a variety of PROMs, many of which are not designed specifically for hamstring injuries. 9 , 34 Although there has been a recent impetus toward creating proximal hamstring–specific PROMs, 8 , 16 , 29 it is unclear how these measures compare with their nonhamstring-specific counterparts. As the number of PROMs that have been used in outcome studies on proximal hamstring injuries continues to grow, there is still a lack of consensus as to which specific PROMs are the most suitable for evaluating outcomes after these injuries.…”

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confidence: 99%

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Comparative Analysis of Patient-Reported Outcome Measures for Proximal Hamstring Injuries: A Systematic Review

Green

Moran

Schneble

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: There is controversy regarding which patient-reported outcome measures (PROMs) should be used for proximal hamstring tendon injuries. Hypothesis: It was hypothesized that (1) most (>50%) of the questions on the 13 most common PROMs for proximal hamstring injuries would demonstrate extensive overlap in the health domains and question categories and (2) each of the PROMs would contain a variable distribution of questions within each health domain. Study Design: Systematic review. Methods: We conducted a literature review through PubMed, Scopus, and CINAHL and identified the 13 most common PROMs for proximal hamstring injuries: Lower Extremity Functional Scale (LEFS), Marx activity rating scale (MARS), 12-item Short Form Survey (SF-12), Tegner activity scale (TAS), Single Assessment Numeric Evaluation (SANE), Perth Hamstring Assessment Tool (PHAT), Proximal Hamstring Injury Questionnaire (PHIQ), modified Harris Hip Score (mHHS), University of California, Los Angeles activity score (UCLA), International Hip Outcome Tool (iHOT-12), Hip Outcome Score (HOS), Sydney Hamstring Origin Rupture Evaluation (SHORE), and Non-Arthritic Hip Score (NAHS). All PROM questions were sorted into 5 health domains (pain, symptoms, activities of daily living, sports, and mindset) and further divided into question categories if they referred to similar tasks or aspects of health. Questions in the same health domain and question category were considered overlapping, and those within a health domain that did not fit into a question category were considered unique. For each PROM, we analyzed the distribution of questions within particular health domains and question categories as well as the amount of overlapping and unique questions. Results: Of the 165 questions evaluated, 116 (70.3%) were overlapping, and 49 (29.7%) were unique. The SF-12 contained the most unique questions (9/12 [75.0%]). The MARS, TAS, SANE, and UCLA had 0 unique questions. The PHIQ and iHOT-12 contained questions in all 5 health domains. The PHAT, SHORE, and NAHS contained questions in every health domain except mindset. The LEFS, MARS, SF-12, TAS, mHHS, SANE, UCLA, and HOS contained questions in ≤3 health domains. Conclusion: The evaluated PROMs had a high degree of overlapping questions (≥50%) and demonstrated a statistically significant variance in the distribution of questions within each health domain.

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“…5 Typically, surgery is recommended for patients with a complete three tendon tear or those with two tendon tears with more than 2 cm of retraction. 6 The aim of surgery is to achieve an objectively and subjectively restored hamstring muscle in terms of strength and function, leading to a patient who is satisfied with their outcome. 7 A restored muscle should also reduce the risk of injury recurrence and enable the patient to return to sport.…”

Section: Introductionmentioning

confidence: 99%

Outcomes following surgical management of proximal hamstring tendon avulsions

Hillier-Smith

Paton

2022

Bone & Joint Open

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Aims Avulsion of the proximal hamstring tendon origin can result in significant functional impairment, with surgical re-attachment of the tendons becoming an increasingly recognized treatment. The aim of this study was to assess the outcomes of surgical management of proximal hamstring tendon avulsions, and to compare the results between acute and chronic repairs, as well as between partial and complete injuries. Methods PubMed, CINAHL, SPORTdiscuss, Cochrane Library, EMBASE, and Web of Science were searched. Studies were screened and quality assessed. Results In all, 35 studies (1,530 surgically-repaired hamstrings) were included. Mean age at time of repair was 44.7 years (12 to 78). A total of 846 tears were acute, and 684 were chronic, with 520 tears being defined as partial, and 916 as complete. Overall, 92.6% of patients were satisfied with the outcome of their surgery. Mean Lower Extremity Functional Score was 74.7, and was significantly higher in the partial injury group. Mean postoperative hamstring strength was 87.0% of the uninjured limb, and was higher in the partial group. The return to sport (RTS) rate was 84.5%, averaging at a return of 6.5 months. RTS was quicker in the acute group. Re-rupture rate was 1.2% overall, and was lower in the acute group. Sciatic nerve dysfunction rate was 3.5% overall, and lower in the acute group (p < 0.05 in all cases). Conclusion Surgical treatment results in high satisfaction rates, with good functional outcomes, restoration of muscle strength, and RTS. Partial injuries could expect a higher functional outcome and muscle strength return. Acute repairs result in a quicker RTS with a reduced rate of re-rupture and sciatic nerve dysfunction. Cite this article: Bone Jt Open 2022;3(5):415–422.

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Validation of the Sydney Hamstring Origin Rupture Evaluation (SHORE)

Cited by 10 publications

References 33 publications

A systematic review of surgical intervention in the treatment of hamstring tendon ruptures: current evidence on the impact on patient outcomes

A systematic review of surgical intervention in the treatment of hamstring tendon ruptures: current evidence on the impact on patient outcomes

Comparative Analysis of Patient-Reported Outcome Measures for Proximal Hamstring Injuries: A Systematic Review

Outcomes following surgical management of proximal hamstring tendon avulsions

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