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A New Technique for Surgical Treatment of Proximal Hamstring Tendinopathy in a Triathlon Athlete
Lincoln Paiva Costa1, Antônio Augusto Guimarães Barros1, Carlos Cesar Vassalo1
1Department of Orthopaedics, Hospital Madre Teresa, Belo Horizonte, Minas Gerais, Brazil.
Introduction:
Proximal hamstring tendinopathy (PHT) is the result of chronic overload caused by repetitive eccentric contraction. Surgical treatment becomes an option for patients with chronic symptoms that do not respond to conservative treatment.
Case Report:
This report describes a case of a 48-year-old man, an amateur triathlete, with deep gluteal pain in the left hip for 12 months, leading to a decline in sports performance. Magnetic resonance imaging revealed abnormalities that suggested a PHT. Surgery was indicated following the failure of conservative treatments. Debridement of the conjoint tendon and its reinsertion associated with semimembranosus tenotomy showed good results and is thus an option for the treatment of this pathology after 12 months of follow-up.
Conclusion:
This article provides surgeons with a new surgical option for this debilitating condition with clinical and functional improvement after 12 months of follow-up.
