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Related Experiment Video

Updated: Jun 30, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Surgical release for proximal hamstring syndrome.

Ian J Young1, Roger P van Riet, Simon N Bell

  • 1Monash Medical Centre, Melbourne, Australia.

The American Journal of Sports Medicine
|September 27, 2008
PubMed
Summary
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Surgical release of proximal hamstring tendons alleviates sciatic nerve tethering, reducing pain and weakness in athletes. Most patients returned to high-level sports with significant satisfaction following the procedure.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Neurology

Background:

  • Proximal hamstring syndrome involves sciatic nerve tethering to hamstring tendons, causing buttock pain and weakness.
  • Symptoms arise from hamstring muscle contraction, leading to sciatic nerve traction.

Purpose of the Study:

  • To evaluate the efficacy of surgical release of proximal hamstring tendons in alleviating sciatic nerve tethering.
  • To assess improvements in pain, hamstring weakness, and return to sport post-surgery.

Main Methods:

  • A case series (Level of evidence, 4) of 47 proximal hamstring releases in 44 high-level athletes.
  • Data collected from medical records and a long-term postal questionnaire.
  • Average follow-up was 53 months.

Related Experiment Videos

Last Updated: Jun 30, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Main Results:

  • Significant reduction in average visual analog scale pain scores (6.5 to 2.0) and subjective weakness scores (6.6 to 2.8).
  • 77% of patients returned to previous sporting activities, with 30 competing at or above state level or professionally.
  • 75% of patients reported being very satisfied with the surgical outcome.

Conclusions:

  • Proximal hamstring syndrome predominantly affects competitive athletes.
  • Surgical release of proximal hamstring tendons effectively decreases pain and enhances strength in this population.
  • The majority of athletes experienced satisfactory outcomes and returned to their sports.