Related Experiment Video
Updated: Nov 1, 2025
07:30
Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
15.6K
[Avulsion of the hamstring muscles]
Axel Partenheimer1,2, Helmut Lill3
1Praxis Spine & Sport, Herrenhäuser Kirchweg 38, 30167, Hannover, Deutschland. contact@spine-sport.de.
Der Unfallchirurg
|June 18, 2021
Summary
Surgical repair of proximal hamstring avulsions offers improved function and resilience. Open refixation is recommended for recent ruptures due to better outcomes compared to non-surgical methods.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Musculoskeletal injuries
Background:
- Proximal hamstring avulsions are rare but severe injuries affecting the dorsal thigh.
- These injuries involve the musculature responsible for hip extension and knee flexion.
Purpose of the Study:
- To present the surgical technique, postoperative care, and outcomes for proximal hamstring avulsions.
- To evaluate the increasing trend towards surgical intervention due to improved diagnostics and treatment experience.
Main Methods:
- Detailed anatomical description of the proximal hamstring origins.
- Discussion of diagnostic modalities, including magnetic resonance imaging (MRI).
- Outline of surgical and conservative treatment protocols.
Main Results:
- Improved diagnostic capabilities, particularly MRI, enhance the identification of injury extent and severity.
- Surgical treatment demonstrates a clear improvement in function and resilience.
- While long-term results between surgical and conservative methods show no significant difference in some literature, surgical intervention is favored for functional recovery.
Conclusions:
- Nonsurgical treatment of proximal hamstring ruptures often yields poor results.
- Open refixation is recommended for recent proximal hamstring ruptures due to positive surgical outcomes.
- Surgical success in restoring function and resilience supports its use in managing these severe injuries.
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