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Proximal hamstring tendon avulsion: state of the art
Pablo Bertiche1, Nicholas Mohtadi2, Denise Chan3
1Department of Sport Medicine and Arthroscopic Surgery, Sanatorio Allende, Cordoba, Argentina.
Summary
Complete proximal hamstring tendon avulsions are severe sports injuries often misdiagnosed. Surgical repair is standard, but non-surgical options exist for less active patients, with future research needed.
Area of Science:
- Orthopedic Sports Medicine
- Musculoskeletal Injuries
- Tendon Repair
Background:
- Proximal hamstring tendon avulsions are severe injuries with frequent misdiagnosis.
- Current literature supports surgical repair, despite limited evidence quality.
Purpose of the Study:
- To review anatomy, clinical assessment, and diagnostic methods for proximal hamstring avulsions.
- To evaluate current surgical and non-surgical treatment options and outcomes.
- To describe the established standard of care for surgical repair.
Main Methods:
- Review of relevant anatomy and clinical presentation.
- Analysis of diagnostic testing and physical examination findings.
- Evidence-based review of surgical and non-surgical treatment strategies.
Main Results:
- Open suture-anchor repair to the ischial tuberosity is the current standard of care.
- Non-surgical treatment is a viable alternative for patients with lower physical demands.
- Detailed surgical techniques, post-operative management, and rehabilitation are outlined.
Conclusions:
- Proximal hamstring avulsions require prompt diagnosis and appropriate management.
- Surgical repair remains the primary treatment, with ongoing research into endoscopic techniques.
- Future research should focus on higher-quality studies to refine treatment indications and outcomes.
