High Hamstring Tendinopathy: MRI and Ultrasound Imaging and Therapeutic Efficacy of Percutaneous Corticosteroid Injection

Zissen, Maurice H.; Wallace, Grant; Stevens, Kathryn J.; Fredericson, Michael; Beaulieu, Christopher F.

doi:10.2214/ajr.09.3674

Cited by 122 publications

(119 citation statements)

References 22 publications

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“…36 US features of proximal hamstring tendinopathy include peritendinous edema, hypoechoic areas within the tendon, tendon thickening, and echogenic foci consistent with calcifications. 35 These findings are consistent with both the tendon disrepair and degenerative tendinopathy stages in a proposed pathology continuum. 37,38 Sacral stress fractures can be either insufficiency or fatigue fractures.…”

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritissupporting

confidence: 77%

“…33 Both US and MRI can be used to diagnose proximal hamstring tendinopathy, with MRI currently considered more sensitive than US and better suited for a broader range of body types. 35 On MRI, symptomatic proximal hamstring tendons demonstrate significant increases in width and thickness, peritendinous high T2-weighted signal with a feathery appearance, and ischial tuberosity edema. 36 US features of proximal hamstring tendinopathy include peritendinous edema, hypoechoic areas within the tendon, tendon thickening, and echogenic foci consistent with calcifications.…”

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 99%

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Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. Methods: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for. We used the PubMed search engine through January 15, 2016. Results: Musculoskeletal sources of adult hip pain can be divided into posterior, lateral, and anterior categories. For posterior hip pain, select considerations include lumbar spine and femoroacetabular joint referral, sacroiliac joint pathology, piriformis syndrome, and proximal hamstring tendinopathy. Gluteal tendinopathy and iliotibial band thickening are the most common causes of lateral hip pain. Anterior hip pain is further divided into causes that are intra-articular (ie, labral tear, osteoarthritis, osteonecrosis) and extra-articular (ie, snapping hip and inguinal disruption [athletic pubalgia]). Entrapment neuropathies and myofascial pain should also be considered in each compartment. A limited number of historical features and physical examination tests for evaluation of adult hip pain are supported by the literature and are discussed in this article. Depending on the clinical differential, the gamut of diagnostic imaging modalities recommended for accurate diagnosis include plain film radiography, computed tomography, magnetic resonance imaging, skeletal scintigraphy, and ultrasonography. Conclusions: The evaluation of adult hip pain is challenging. Clinicians should consider posterior, lateral, and anterior sources of pain while keeping in mind that these may overlap. (J Chiropr Med 2016;15:281-293)

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Section: Femoroacetabular Joint Derangement (Ie Osteoarthritissupporting

confidence: 77%

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 99%

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

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“…Symptom onset is usually insidious and includes pain, which is exacerbated by resisted function. In general, tendinopathy on MRI exhibits focal or diffuse tendon thickening with increased or intermediate T2 signal [85,[87][88][89]. Small, recurrent intrasubstance collagen fibril tears may contribute to chronic tendinopathy, occasionally seen on imaging as focal linear high T2 intrasubstance signal without superimposed acute injury [87].…”

Section: Overuse Injuriesmentioning

confidence: 99%

“…Tendons most commonly affected by chronic tendinopathy include the proximal hamstrings (Fig. 16) [85,88], distal abductors (Fig. 17) [90], proximal tensor fascia lata (Fig.…”

Section: Overuse Injuriesmentioning

confidence: 99%

MRI of the Hip: Important Injuries of the Adult Athlete

et al. 2014

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Hip pain is a common problem in adult athletes and may be caused by a wide range of acute and chronic injuries, many of which lead to prolonged time away from sport. This article highlights the magnetic resonance imaging (MRI) findings of important hip injuries in adult athletes, including select osseous, impingement, intraarticular, and musculotendinous injuries. The most commonly affected athletes, clinical presentation, and MRI findings of each injury are reviewed with corresponding clinical pearls from the orthopedist's perspective.

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“…As a result of repetitive trauma or acute damage, the bursa may become inflamed and painful. Pain in this region may also be caused by a tendinopathy at the origin of the hamstrings [31]. This is often seen in imaging studies and is related to chronic hamstring injuries.…”

Section: Indicationsmentioning

confidence: 99%

Image-Guided Injections of the Hip

Singh¹

2014

J Nov Physiother Phys Rehabil

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The authors present a technique paper on the utilization of both ultrasound and fluoroscopy guidance for injections about the hip joint. This review draws from specialists including physiatry, family medicine and orthopaedic surgery. We hope the editors and reviewers find this document beneficial to the readership, especially those practicing musculoskeletal medicine and may use this information when performing hip injections.

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High Hamstring Tendinopathy: MRI and Ultrasound Imaging and Therapeutic Efficacy of Percutaneous Corticosteroid Injection

Cited by 122 publications

References 22 publications

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

MRI of the Hip: Important Injuries of the Adult Athlete

Image-Guided Injections of the Hip

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