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Acute proximal hamstring rupture.

Steven Cohen1, James Bradley

  • 1Department of Orthopaedic Surgery, Rothman Institute Orthopaedics, Thomas Jefferson University Medical School, Philadelphia, PA 19107-4216, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|June 6, 2007
PubMed
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Surgical repair of complete hamstring tendon ruptures can restore near-normal strength and function, with 58-85% of athletes returning to sports. This approach addresses complications associated with non-surgical treatments for hamstring injuries.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Musculoskeletal Injuries

Background:

  • Hamstring strain is a prevalent injury among athletes.
  • Complete hamstring tendon ruptures often lead to complications like muscle weakness and sciatic neuralgia with non-surgical management.
  • Surgical intervention is increasingly considered for these severe injuries.

Purpose of the Study:

  • To review the surgical technique for repairing complete hamstring tendon ruptures from the ischial tuberosity.
  • To evaluate the outcomes and efficacy of surgical repair for proximal hamstring ruptures.

Main Methods:

  • Surgical repair involves a transverse gluteal crease incision.
  • Key steps include sciatic nerve protection, tendon mobilization, and reattachment to the ischial tuberosity using suture anchors.

Related Experiment Videos

  • Review of existing literature on surgical outcomes for proximal hamstring ruptures.

    • Main Results:

    • Surgical repair demonstrates a projected return to function and sports activity rate of 58% to 85%.
    • Patients experience near-normal strength restoration post-surgery.
    • Significant decrease in pain is reported following surgical intervention.

    Conclusions:

    • Surgical repair is an effective treatment for complete hamstring tendon ruptures.
    • It offers favorable outcomes regarding strength, function, and pain reduction.
    • Further studies with larger patient cohorts are warranted given limited existing literature.