Two patients with a complete proximal rupture of the hamstring

Floor, Sebastiaan; Veen, A.H. van der; Devilee, Roger J.J.

doi:10.1007/s00402-009-0950-5

Cited by 13 publications

(5 citation statements)

References 16 publications

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“…There has been much published regarding surgical repair of proximal hamstring tendon avulsions, especially with regard to the outcome measures used. A range of non‐validated heterogeneous outcome measures have been utilized to date, including return to sport rates [6, 7, 11, 12, 17, 20, 22, 27, 30, 35], isokinetic strength testing [3, 4, 6, 7, 12, 19–21, 25, 27, 35], Harris Hip scores [26], subjective rating scales [14, 22, 28, 31] and custom hamstring questionnaires [3, 8, 29].…”

Section: Discussionmentioning

confidence: 99%

Proximal hamstring tendon avulsion surgery: evaluation of the Perth Hamstring Assessment Tool

Blakeney

Zilko

Edmonston³

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionmentioning

confidence: 99%

Proximal hamstring tendon avulsion surgery: evaluation of the Perth Hamstring Assessment Tool

Blakeney

Zilko

Edmonston³

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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“…After fi nal application of exclusion criteria, 18 studies were appropriate for inclusion. Acute surgical repair was defi ned as surgical repair of tendinous avulsion [14] within 4 weeks of injury. Chronic or delayed repair was defi ned as surgical repair of tendinous avulsion after 4 weeks from injury.…”

Section: Methods ▼mentioning

confidence: 99%

Treatment of Proximal Hamstring Ruptures – A Systematic Review

Harris¹,

et al. 2011

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Proximal hamstring ruptures are increasingly treated surgically, despite little high-level supporting evidence. We sought to determine whether there are differences in clinical outcome after surgical vs. non-surgical treatment of proximal hamstring tendinous avulsions/ruptures and acute vs. chronic surgical repair of tendinous avulsions. Multiple medical databases were searched for Level I-IV evidence. 18 studies were included. 298 subjects (300 proximal hamstring injuries) were analyzed with mean age of 39.7 years. 286 injuries were managed with surgical repair vs. 14 non-operative. 95 surgical cases were performed within 4 weeks of the injury (acute), while 191 were performed beyond 4 weeks (chronic). 292 injuries were tendinous avulsions while 8 were bony tuberosity avulsions. Surgical repair resulted in significantly (p < 0.05) better subjective outcomes, greater rate of return to pre-injury level of sport, and greater strength/endurance than non-surgical management. Similarly, acute surgical repair had significantly better patient satisfaction, subjective outcomes, pain relief, strength/endurance, and higher rate of return to pre-injury level of sport than chronic repair (p < 0.001) with reduced risk of complications and re-rupture (p < 0.05). Chronic surgical repair also improves outcomes, strength and endurance, and return-to-sport, but not as well as acute repair. Non-operative treatment results in reduced patient satisfaction, with significantly lower rates of return to pre-injury level of sport and reduced hamstring muscle strength.

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“…The hamstring muscle complex is one of the most commonly injured muscles in sports and accounts for 25-30 % of all muscle strains [22]. Proximal hamstring injuries often occur in patients performing water skiing sports, but also sportive activities such as martial arts, dancing, athletics, or bull riding have been described in the literature [4,13,21]. The mechanism of injury is commonly reported as an indirect trauma during sprints or jumps [29].…”

Section: Introduction ▼mentioning

confidence: 99%

Mid-term Functional Outcome and Return to Sports after Proximal Hamstring Tendon Repair

Sandmann

Hahn

Amereller³

et al. 2016

Int J Sports Med

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Proximal hamstring tendon ruptures are commonly associated with a significant loss of function, and operative treatment is recommended in active patients. The objective was to evaluate objective/subjective functional results and return to sports following proximal hamstring tendon repair in the mid-term follow-up. 16 repairs of proximal hamstring ruptures were performed in 15 patients (9 males, 6 females). The average age at the time of injury was 47 years (range, 21?66). All patients were clinically examined at a mean follow-up of 56 months (range, 24?112 months). Validated patient-oriented assessment scores focussing on sports activity including the Lysholm Score, Tegner Activity Score, UCLA Activity Score, adapted WOMAC Score, and the VAS were evaluated as well as the return to sports. Isokinetic strength of both legs was tested using a rotational dynamometer. The Lysholm, Tegner, UCLA Activity Score and the adapted WOMAC demonstrated predominantly a return to a preinjury activity level at follow-up. Functional measurements of the operated leg showed similar results to the uninjured leg in knee extension and flexion strength (p>0.094). In return to sports, no signficant (p>0.05) differences concerning types or frequency were noted. The surgical repair of proximal hamstring tendon ruptures leads to constantly good functional results in the mid-term follow-up, where patients demonstrate similar isokinetic results in the healthy leg.

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Two patients with a complete proximal rupture of the hamstring

Cited by 13 publications

References 16 publications

Proximal hamstring tendon avulsion surgery: evaluation of the Perth Hamstring Assessment Tool

Proximal hamstring tendon avulsion surgery: evaluation of the Perth Hamstring Assessment Tool

Treatment of Proximal Hamstring Ruptures – A Systematic Review

Mid-term Functional Outcome and Return to Sports after Proximal Hamstring Tendon Repair

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