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Snapping Hamstring Tendons Case Report: Tenotomy and Tendon Transposition.

Nimit Patel¹, Danielle G Weekes², Christopher J Hadley³

¹Thomas Jefferson University, Philadelphia, Pennsylvania.

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|September 2, 2021

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A novel surgical technique addresses snapping hamstring tendons in patients with hypermobility syndrome. This method involves tenotomy and tendon transposition, preserving hamstring muscle function and strength.

Area of Science:

Orthopedic Surgery
Sports Medicine
Biomechanical Engineering

Background:

Snapping hamstring tendons, often associated with hypermobility syndrome, can cause significant discomfort and functional limitation.
Traditional surgical interventions like tenotomy or tendon harvest may compromise muscle function.

Observation:

A 14-year-old female with hypermobility syndrome experienced bilateral snapping of the semimembranosus (SM) and semitendinosus (ST) tendons.
Conservative management failed, necessitating surgical intervention.

Findings:

A two-stage surgical approach was employed: tenotomy of the SM tendon followed by transposition of the ST tendon to the gracilis tendon.
This technique aims to maintain hamstring muscle length, strength, and overall function post-operatively.

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Implications:

This innovative technique offers a viable alternative for managing snapping hamstring tendons, particularly in cases of hypermobility.
Preserving muscle function through tendon transposition represents a significant advancement in surgical outcomes for this condition.