Endoscopic Repair of Proximal Hamstring Insertion With Sciatic Nerve Neurolysis

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Minimally Invasive Procedures

Background:

• Open surgical repair has long been the standard for proximal hamstring avulsions.
• Endoscopic repair has gained popularity in the last decade.
• Endoscopic techniques offer potential advantages in anatomic repair and sciatic nerve visualization.

Purpose of the Study:

• To present a case of endoscopic repair for a proximal hamstring avulsion.
• To demonstrate the combined procedure of endoscopic hamstring repair and sciatic nerve neurolysis.
• To highlight the technique's potential for safe sciatic nerve exploration.

Main Methods:

• Endoscopic surgical repair of a right proximal hamstring avulsion.
• Concurrent sciatic nerve neurolysis performed endoscopically.
• Utilized small incisions and dissection for the procedure.

Main Results:

• The endoscopic approach allowed for an anatomic repair.
• Sciatic nerve exploration and neurolysis were safely performed.
• The technique was applied to a proximal hamstring avulsion case.

Conclusions:

• Endoscopic repair is a viable option for proximal hamstring avulsions.
• This technique facilitates safe sciatic nerve management.
• Long-term outcome data is essential, particularly for chronic or retracted tears.