Endoscopic Repair of the Proximal Hamstring

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Minimally Invasive Procedures

Background:

• Proximal hamstring injuries are common and often require surgical intervention.
• Open repair using suture anchors is the traditional gold standard.
• Endoscopic techniques offer potential advantages like smaller incisions and reduced complications.

Purpose of the Study:

• To describe an endoscopic technique for proximal hamstring repair.
• To highlight the benefits of endoscopic repair over traditional open methods.

Main Methods:

• Utilizes arthroscopic portals in the gluteal fold for access.
• Employs fluoroscopy for precise portal and nerve visualization.
• Involves suture anchor placement for robust tendon reattachment.
• Follows a structured postoperative physical therapy protocol.

Main Results:

• Endoscopic repair shows high return to sport rates (up to 95%).
• Leads to greater patient satisfaction and faster return to activity compared to nonoperative care.
• Expected to reduce wound complications and postoperative pain versus open repair.

Conclusions:

• Advancements in endoscopic techniques enable effective proximal hamstring avulsion repair.
• This endoscopic approach can decrease perioperative complications and accelerate patient recovery.