Chronic Ischial Avulsion Fracture Excision With Primary Proximal Hamstring Repair: A Technique

Stapleton, Erik; Winn, Julie; Kimball, Hervey L.; Miller, Suzanne L.

doi:10.1016/j.eats.2022.06.017

Cited by 1 publication

(2 citation statements)

References 17 publications

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“…61,88 However, these sciatic-related symptoms are not limited to chronic cases and have occurred in as little as 4 weeks after injury, and may also occur in distal hamstring lesions. 99 Patients with distal injuries have a similar presentation to those with proximal injuries but may also experience a component of weakness with knee flexion. In severe cases, patients may find active extension challenging as well.…”

Section: Clinical Presentationmentioning

confidence: 99%

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Hamstring Injuries: A Current Concepts Review: Evaluation, Nonoperative Treatment, and Surgical Decision Making

et al. 2023

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The purpose of this current concepts review is to highlight the evaluation and workup of hamstring injuries, nonoperative treatment options, and surgical decision-making based on patient presentation and injury patterns. Hamstring injuries, which are becoming increasingly recognized, affect professional and recreational athletes alike, commonly occurring after forceful eccentric contraction mechanisms. Injuries occur in the proximal tendon at the ischial tuberosity, in the muscle belly substance, or in the distal tendon insertion on the tibia or fibula. Patients may present with ecchymoses, pain, and weakness. Magnetic resonance imaging remains the gold standard for diagnosis and may help guide treatment. Treatment is dictated by the specific tendon(s) injured, tear location, severity, and chronicity. Many hamstring injuries can be successfully managed with nonoperative measures such as activity modification and physical therapy; adjuncts such as platelet-rich plasma injections are currently being investigated. Operative treatment of proximal hamstring injuries, including endoscopic or open approaches, is traditionally reserved for 2-tendon injuries with >2 cm of retraction, 3-tendon injuries, or injuries that do not improve with 6 months of nonoperative management. Acute surgical treatment of proximal hamstring injuries tends to be favorable. Distal hamstring injuries may initially be managed nonoperatively, although biceps femoris injuries are frequently managed surgically, and return to sport may be faster for semitendinosus injuries treated acutely with excision or tendon stripping in high-level athletes.

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Section: Clinical Presentationmentioning

confidence: 99%

“…61,88 However, these sciatic-related symptoms are not limited to chronic cases and have occurred in as little as 4 weeks after injury, and may also occur in distal hamstring lesions. 99…”

Section: Clinical Presentationmentioning

confidence: 99%