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Published on: May 1, 2018
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Management of hamstring injuries: current concepts review.
Justin S Chang1, Babar Kayani1,2, Ricci Plastow1
1Department of Trauma and Orthopaedic Surgery, University College London Hospitals, London, UK.
The Bone & Joint Journal
|September 30, 2020
Summary
Hamstring injuries are common in athletes and require accurate diagnosis, often with magnetic resonance imaging (MRI). Prompt treatment, surgical or nonoperative, is crucial for athletes to return to sport and reduce re-injury risk.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Diagnostic Imaging
Background:
- Hamstring injuries represent 12-26% of athletic injuries, frequently occurring during high-speed running or kicking sports.
- Recurrence rates range from 14-63%, with potential career-ending consequences for elite athletes.
- Varied prognoses necessitate precise diagnosis and tailored management strategies.
Purpose of the Study:
- To review optimal diagnostic imaging methods for hamstring injuries.
- To analyze common classification systems guiding hamstring injury treatment.
- To provide an evidence-based framework for nonoperative and operative management.
Main Methods:
- Review of diagnostic imaging modalities, focusing on magnetic resonance imaging (MRI).
- Analysis of established classification systems for hamstring injuries.
- Evaluation of outcomes for operative and nonoperative treatment strategies.
Main Results:
- Magnetic resonance imaging (MRI) is vital for accurate classification and management planning.
- Low-grade injuries may respond to nonoperative care, but with variable recovery times.
- High-grade and avulsion injuries often require surgical intervention for optimal return to sport and reduced recurrence.
Conclusions:
- Accurate diagnosis via MRI and appropriate classification are paramount for effective hamstring injury management.
- Nonoperative treatment is suitable for low-grade injuries, while surgical repair is indicated for severe tears and avulsions.
- An evidence-based approach to treatment optimizes functional recovery and minimizes reinjury risk in athletes.
Keywords:
Hamstring injuriesProximal tendon avulsionRecurrent injuryReturn to SportSurgical management
