Partial rupture of the distal semitendinosus tendon treated by tenotomy—A previously undescribed entity

Schilders, Ernest; Bismil, Quamar; Sidhom, Sameh; Robinson, Philip; Barwick, T.; Talbot, Charlie

doi:10.1016/j.knee.2005.05.004

Cited by 30 publications

(43 citation statements)

References 7 publications

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“…Similar to our patient, most individuals limp immediately after the injury and later participate in light practice, but are unable to perform vigorous activity [5]. To date, distal semitendinosus tendon ruptures have been reported in eccentric motions during competitive play (i.e., running to bases, getting hit while diving for a ball) [5,6]. Thus, this rupture is likely only caused by highintensity injuries.…”

Section: Clinical Featuressupporting

confidence: 57%

“…Tears of the distal attachment of the biceps femoris are the most frequently reported distal hamstring tears, with a few radiology case reports of distal semimembranosus avulsions. Semitendinosus tendon tears are also rare and have been reported mainly in the orthopedic literature [5][6][7][8][9][10]. In the radiology literature, distal semitendinosus injuries have not been reported in detail and are overshadowed by the other common hamstring injuries [4,11].…”

Section: Introductionmentioning

confidence: 99%

“…This tendon is harvested for anterior cruciate ligament reconstruction, in addition to other ligament and tendon reconstructions around the upper and lower extremity. Injury of the distal semitendinosus has been associated with an inability to perform vigorous activities crucial to high performance sports, leading to loss of playing time [6]. In addition, unrecognized injury may lead to a premature return to sports, resulting in prolonged convalescence or re-injury.…”

Section: Introductionmentioning

confidence: 99%

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Partial semitendinosus tendon tear in a young athlete: a case report and review of the distal semitendinosus anatomy

et al. 2015

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Distal semitendinosus tears have been infrequently reported in the radiology literature, and a detailed description of the anatomy and imaging features of these injuries is lacking. The semitendinosus tendon is clinically relevant, as it is frequently grafted in knee ligament reconstructions and plays an important role in performing competitive activities. We present a case of a 31-year-old man who developed a partial semitendinosus tear during competitive training. This case highlights the common clinical and imaging findings found with distal semitendinosus tears, and explores the various modalities available to treat this injury. We also review the clinically pertinent anatomy of the distal semitendinosus tendon and discuss the pitfalls that musculoskeletal radiologists may encounter, to avoid misdiagnosing these rare injuries.

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Section: Clinical Featuressupporting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Partial semitendinosus tendon tear in a young athlete: a case report and review of the distal semitendinosus anatomy

et al. 2015

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“…Here, we report a case of 51-year-old previous healthy working man diagnosed with isolated semitendinosus tendon rupture treated successfully by conservative management. Although rare, distal ruptures of isolated semitendinosus tendon have been reported previously [3][4][5][6] . However, all of these previous reports were based on professional young athletes whom mostly resulted from competitive sports activity.…”

mentioning

confidence: 97%

“…Schilders et al 6) in their case report, they described, "The injury had been sustained whilst lunging for the ball with an outstretched leg: which had sustained an impact; with eccentric loading of the hamstrings." Adejuwon et al 3) in their report described, "While performing sprint-start drills…" and "During a 100-m preliminary round…" Therefore, it is mentioned that most athletic players give a history of feeling sharp, searing, acute pain during sprinting or on extended stride 4) .…”

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confidence: 99%

Isolated Semitendinosus Tendon Rupture in Non Athlete

Yang

Yoon

et al. 2012

Korean J Sports Med

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Isolated rupture of distal semitendinosus is reported rarely. Here, we report a case of 51-year-old previous healthy working man diagnosed with isolated semitendinosus tendon rupture treated successfully by conservative management. Although rare, distal ruptures of isolated semitendinosus tendon have been reported previously [3][4][5][6] . However, all of these previous reports were based on professional young athletes whom mostly resulted from competitive sports activity. Here, we report a case of 51-year-old previous healthy working man diagnosed with isolated semitendinosus tendon rupture treated successfully by conservative management. The patient was informed that data concerning the case would be submitted for publication, and he consented. Key W ords: Semitendinosus tendon, Isolated injuryA 51-year-old previous healthy working man presented with popliteal area pain. Although he was active, he was not a professional sports player. The pain presented for 1 week. He claimed that the shooting-nature pain developed in medial aspect of popliteal area during stair climbing in knee extension position.On physical examination, there was a palpable gap along the distal medial hamstring tendons that was accentuated on knee flexion. There was tenderness on palpation along the medial side of the popliteal fossa, which was exacerbated by resisted knee flexion. A full range of knee movement was maintained, and there was no medial joint laxity on valgus straining at 0 and 30 degrees of flexion.Magnetic resonance imaging (MRI) of the knee was performed.MRI examinations were performed on a 1.5 Tesla MR scanners (GE Medical Systems, Milwaukee, WI, USA) using a phased array knee coil. The MR protocol included coronal, sagittal and

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Surgical treatment of distal hamstring tendon injuries yield a higher return‐to‐sports rate: A systematic review

Marín Fermín,

Aminake,

Vasiliadis

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe purpose of this study is to compare the patient‐reported outcomes and return to sports of the conservative and surgical treatment of distal hamstring tendon injuries.MethodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, two reviewers searched PubMed, Scopus and Virtual Health Library databases in January 2023. Clinical studies evaluating conservative or surgical management outcomes of distal hamstring tendon injuries were considered eligible for this systematic review if predefined criteria were fulfilled: (1) published in English or Spanish; (2) evaluated any of the following: patient‐reported outcomes, return‐to‐sports rate (RTS‐R) or return‐to‐sports time (RTS‐T). Data were presented in tables using absolute values from individual studies and derived pooled percentages.ResultsEighteen studies were included for 67 patients and 68 distal hamstring tendon injuries. Initially, 39 patients (58.2%) underwent surgical treatment, whereas 28 (41.8%) were treated conservatively. Among conservative treatment patients, 15 failed and had to be operated on (53.6%), all with distal semitendinosus tendon injuries. Anchor fixation was the technique of choice in 20 lesions (36.4%), tenodesis in 16 (29.1%), tenectomy in 14 (25.5%) and sutures were preferred in five (9%). Thirteen out of 28 patients (46.4%) undergoing initial conservative treatment returned to sports at a mean of 3.6 months (range 1 week to 12 months), in contrast to surgical treatment, in which 36 out of 39 patients (92.3%) returned at a mean of 4.2 months (range 6 weeks to 12 months). Additionally, 14 of 15 patients (93.3%) converted to surgical treatment after failed conservative treatment returned to sports at a mean of 7.6 months after injury.ConclusionInitial surgical treatment of distal hamstring tendon injuries yields a high RTS‐R (92.3%) at a mean of 4.2 months. Furthermore, 15 out of 28 patients (53.6%) initially treated conservatively had to be operated on, delaying the RTS‐T (mean 7.6 months after injury) without affecting their RTS‐R.Level of EvidenceIV.

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Partial rupture of the distal semitendinosus tendon treated by tenotomy—A previously undescribed entity

Cited by 30 publications

References 7 publications

Partial semitendinosus tendon tear in a young athlete: a case report and review of the distal semitendinosus anatomy

Partial semitendinosus tendon tear in a young athlete: a case report and review of the distal semitendinosus anatomy

Isolated Semitendinosus Tendon Rupture in Non Athlete

Surgical treatment of distal hamstring tendon injuries yield a higher return‐to‐sports rate: A systematic review

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