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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

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The conversion rate to total hip arthroplasty after hip arthroscopy in patients with femoroacetabular impingement syndrome is 8% and is affected by older age, cam morphology and osteoarthritis.

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Related Experiment Video

Updated: Jun 28, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Proximal Hamstring Avulsions: Surgical Versus Conservative Treatment Using a Shared Decision-Making Strategy.

Kasper Spoorendonk1, Marie Bagger Bohn1,2, Jens Ole Storm1

  • 1H-Hip, Department of Physio and Occupational Therapy and Orthopaedic Surgery, Horsens Regional Hospital, Horsens, Denmark.

Orthopaedic Journal of Sports Medicine
|October 23, 2024
PubMed
Summary
This summary is machine-generated.

Both surgical and conservative treatments for proximal hamstring avulsions yield good outcomes. A shared decision-making strategy ensures effective management regardless of the chosen treatment path for hamstring injuries.

Keywords:
Hip/pelvis/thighconservative treatmentmuscle injuriespatient-reported outcomesproximal hamstring avulsionsurgery

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Rehabilitation science

Background:

  • Proximal hamstring avulsions are injuries that can be treated surgically or conservatively.
  • Surgical treatment typically yields good results, but outcomes for conservative management are less understood.
  • A shared decision-making strategy is employed to guide treatment choices.

Purpose of the Study:

  • To compare the outcomes of surgical versus conservative treatment for proximal hamstring avulsions.
  • To evaluate the effectiveness of a shared decision-making strategy in managing these injuries.

Main Methods:

  • A cohort study (Level of evidence, 2) included 24 patients with MRI-verified proximal hamstring avulsions.
  • Patients underwent either surgical (11) or conservative (13) treatment based on shared decision-making.
  • Outcomes were assessed using the Perth Hamstring Assessment Tool (PHAT), Hip Sports Activity Scale, and maximal strength measurements at baseline, 6 months, and 12 months.

Main Results:

  • The surgical group had significantly shorter time to treatment initiation and greater tendon retraction.
  • Both groups showed significant improvements in PHAT scores and maximal strength at 12 months.
  • No significant differences were found in Hip Sports Activity Scale levels between groups at 12 months.

Conclusions:

  • A shared decision-making strategy for proximal hamstring avulsions leads to good clinical outcomes.
  • Both surgical and conservative treatments are effective when chosen through patient-provider collaboration.
  • The study highlights the success of individualized treatment approaches for hamstring injuries.