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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Updated: Jun 21, 2025

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
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Management of Proximal Hamstring Injuries: Non-operative and Operative Treatment.

Thomas R Yetter1, Ryan T Halvorson2, Stephanie E Wong2

  • 1Houston Methodist Hospital, Houston, TX, USA.

Current Reviews in Musculoskeletal Medicine
|July 15, 2024
PubMed
Summary
This summary is machine-generated.

Proximal hamstring injuries in athletes can be treated non-surgically or surgically. Surgical repair offers better outcomes and faster return to sports for specific injuries, with both endoscopic and open methods showing success.

Keywords:
Endoscopic repairHamstringOpen repairTendon injuryTreatment outcomes

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Area of Science:

  • Sports Medicine
  • Orthopedic Surgery
  • Rehabilitation Science

Background:

  • Proximal hamstring injuries are common in athletes, resulting from forceful eccentric contractions.
  • These injuries present with varying severity and chronicity, characterized by ischial tuberosity tenderness, ecchymosis, and hamstring weakness.

Purpose of the Study:

  • To review current evidence on treatment options for proximal hamstring injuries.
  • To evaluate surgical and non-surgical management strategies and their outcomes.

Main Methods:

  • Literature review of studies on proximal hamstring injuries.
  • Analysis of patient-reported outcomes, complication rates, and return to sports data.

Main Results:

  • Complete tears with significant retraction have poorer outcomes.
  • Both endoscopic and open proximal hamstring repair show favorable 5-year patient-reported outcomes.
  • Male athletes with isolated semimembranosus injury or free tendon rupture may return to sports sooner after repair.
  • The Parisian Hamstring Avulsion Score (PHAS) predicts return to sports.

Conclusions:

  • Non-surgical treatment is effective for many proximal hamstring injuries.
  • Surgical repair, both endoscopic and open, can lead to better functional outcomes and faster return to sports for indicated injuries.
  • Further research is needed to optimize postoperative rehabilitation protocols, particularly regarding eccentric strengthening.