Returning To Sports After Surgical Repair Of Acute Proximal Hamstring Ruptures

Lefèvre, Nicolas; Bohu, Yoann; Naouri, J.-F.; Klouche, Shahnaz; Herman, S.

doi:10.1016/j.arthro.2013.07.130

Cited by 5 publications

(15 citation statements)

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“…Function was measured with the Lower Extremity Functional Scale (LEFS) from 0 to 80 with a minimal detectable change of 9 points (31). Individual satisfaction was evaluated by choosing a term between very satisfied, satisfied, moderately satisfied and unsatisfied (32).…”

Section: Individual Evaluationmentioning

confidence: 99%

Evolution of isokinetic strength and return to sport after proximal hamstring rupture without surgical repair: a retrospective series of cases.

Mesland

Guillodo

et al. 2019

Muscle Ligaments and Tendons J

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Introduction. Proximal ruptures of hamstrings are rare. Their evolution in absence of surgery is relatively unknown. We aimed to describe the evolution of patients with non-operated proximal hamstring ruptures, in terms of strength recovery, self-satisfaction and return to sport. Methods. We included retrospectively 16 patients addressed for isokinetic strength evaluation of the hamstrings after non-operated unilateral proximal rupture. Isokinetic strength assessment was performed between 4 and 100 months after injury and subjective scores were performed at the last follow-up. The concentric evaluation was performed with 3 repetitions at 60°/s followed by 5 repetitions at 180°/s. The eccentric mode was evaluated by 5 repetitions at 60°/s followed by 5 repetitions at 120°/s. Results. All the patients went back to sport, with a mean time of 7.0 +/-2.9 months, to the same level of practice or to a lower level. The Tegner score was decreased from 6.9 +/-1.7 to 6.1 +/-1.9 (p = 0.03). Fifteen patients were very satisfied or satisfied and subjective scores were high. Four months after the injury, the concentric strength deficit was 40% +/-25 and decrease to 25% +/-12 at 2 years. Yet, eccentric deficit persisted in time. Conclusion. Subjective results were good despite a persistence of an isokinetic strength deficit.

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Section: Individual Evaluationmentioning

confidence: 99%

Evolution of isokinetic strength and return to sport after proximal hamstring rupture without surgical repair: a retrospective series of cases.

Mesland

Guillodo

et al. 2019

Muscle Ligaments and Tendons J

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“…There is growing evidence to support acute surgical management of complete proximal hamstring avulsions or tears with 2 cm of retraction. 32,34,75 Although they are a unique subset of injuries, there is limited evidence to support acute surgical treatment of ischial apophyseal avulsions injuries in patients with high functional demands and > 1.5 cm of fracture displacement. 87,88 It is generally recommended that surgery for complete avulsion injuries be performed acutely, within the first 4 to 6 weeks after injury, as surgery performed after this period provides less consistent outcomes including decreased patient satisfaction, slower return to sport, and decreased hamstring strength, as well as significant intraoperative challenges.…”

Section: Primary Surgical Repairmentioning

confidence: 99%

“…31 Other reported complications include persistent buttock pain, particularly with sitting, muscle fatigue or cramping, deep venous thrombosis, complex regional pain syndrome, postoperative hematoma or seroma, hardware failure, and wound infection. 32,34,46,61,75,90,107 When considering operative intervention, it is important to discuss these risks with patients preoperatively while taking necessary measures including appropriate surgical timing to minimize these risks as much as possible.…”

Section: Surgical Complicationsmentioning

confidence: 99%

“…Successful return to sport can typically be achieved by 4 to 6 months postoperatively by most athletes. 34,35…”

Section: Postoperative Rehabilitationmentioning

confidence: 99%

“…management of proximal hamstring injuries, while delineating outcomes based on the acuity of operative intervention. [27][28][29][30][31][32][33][34][35] Qualitative and quantitative synthesis of the recent literature suggests that acute surgical management provides the most optimistic clinical outcomes for specific patients with complete proximal hamstring avulsions, while noting that surgical management is not without complication. 27,31 Despite the recent evidence, management of proximal hamstring injuries must occur on a case by case basis, taking into consideration the goals and risk profile of the individual patient as well as the spectrum of pathology that should not be considered in aggregate.…”

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confidence: 99%

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Proximal Hamstring Injuries: Review of Operative and Nonoperative Management

2018

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While uncommon, proximal hamstring injuries can result in significant pain and dysfunction, while also posing considerable treatment dilemmas due to the spectrum of injury that exists. Recent literature suggests that outcomes are improved with acute surgical repair of complete proximal hamstring avulsions, highlighting the importance of timely management of these unique injuries. While chronic repair or reconstruction can result in predictable improvements in pain and function postoperatively, the results are less predictable than acute surgical repair. Nonoperative management should be considered as the initial treatment strategy for patients with proximal hamstring tendinopathy or partial tears, as delayed surgical intervention in this setting has not been shown to significantly affect outcomes. Although current evidence is limited, evolving therapeutic techniques, including biologic injections and endoscopic repair techniques, need to be carefully evaluated to determine their role moving forward. This review aims to provide updated information on the relevant anatomy, mechanism of injury, diagnosis, and management of proximal hamstring injuries, with a specific focus on surgical indications, techniques, and outcomes.

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Strength assessment after proximal hamstring rupture: A critical review and analysis

Mesland

Dauty

2020

Clinical Biomechanics

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Returning To Sports After Surgical Repair Of Acute Proximal Hamstring Ruptures

Cited by 5 publications

References 0 publications

Evolution of isokinetic strength and return to sport after proximal hamstring rupture without surgical repair: a retrospective series of cases.

Evolution of isokinetic strength and return to sport after proximal hamstring rupture without surgical repair: a retrospective series of cases.

Proximal Hamstring Injuries: Review of Operative and Nonoperative Management

Strength assessment after proximal hamstring rupture: A critical review and analysis

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