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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
Avulsion of the proximal hamstring origin.
David G Wood1, Iain Packham, S Paul Trikha
1North Sydney Orthopaedic and Sports Medicine Centre, 286 Pacific Highway, Crows Nest, Sydney, NSW 2065, Australia. dwood@nsosmc.com.au
The Journal of Bone and Joint Surgery. American Volume
|November 4, 2008
Summary
Surgical repair of proximal hamstring origin avulsions yields satisfactory results. Early surgical intervention is recommended for complete avulsions to improve outcomes and reduce complications.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Imaging
Background:
- Proximal hamstring origin avulsions are common athletic injuries.
- Diagnosis involves clinical presentation and imaging.
- Surgical reattachment is a treatment option.
Purpose of the Study:
- To review the clinical presentation of proximal hamstring origin avulsions.
- To analyze diagnostic imaging findings.
- To describe surgical reattachment techniques and outcomes.
Main Methods:
- Seventy-two reconstructions in 71 patients at a single center.
- Mean follow-up of 24 months.
- Comparison of postoperative hamstring strength to the uninjured side.
Main Results:
- Waterskiing was the most frequent cause (21 cases).
- Complete avulsion occurred in 87.5% of cases, with mean retraction of 7 cm.
- Postoperative strength averaged 84% and endurance 89% of the contralateral side.
Conclusions:
- Distinguish avulsions from muscle injuries; recommend early surgical repair for avulsions.
- Delayed repair increases technical difficulty, sciatic nerve risk, and reduces outcomes.
- Surgical treatment for avulsions offers predictable and satisfactory results.
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