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Endoscopic Management of Calcific Tendinopathy in the Proximal Hamstring: Two Case Reports
Hussein A Elkousy1, Davin K Fertitta1,2, Christopher Fernainy2
1Fondren Orthopedic Research Institute, Texas Orthopedic Hospital, Houston, Texas, USA.
Case Reports in Orthopedics
|March 4, 2026
Summary
Proximal hamstring calcific tendinopathy is an underrecognized condition. Endoscopic management offers effective debridement and repair for persistent hamstring pain, improving patient outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Radiology
Background:
- Proximal hamstring calcific tendinopathy is a rare condition.
- Magnetic resonance imaging (MRI) may have limitations in diagnosing this condition preoperatively.
- Persistent hamstring pain can significantly impact patient quality of life.
Purpose of the Study:
- To report two cases of proximal hamstring calcific tendinopathy.
- To describe the successful endoscopic management of these cases.
- To highlight the potential underdiagnosis of this condition.
Main Methods:
- Two patients with partial-thickness proximal hamstring tears underwent endoscopic debridement and tendon repair.
- Surgical procedures were performed using direct visualization.
- Postoperative outcomes were assessed based on symptom relief.
Main Results:
- Both patients experienced significant symptom relief following endoscopic management.
- Neither patient had a preoperative diagnosis of calcific tendinopathy, indicating potential diagnostic challenges.
- Endoscopic surgery provided effective debridement and minimally invasive repair.
Conclusions:
- Proximal hamstring calcific tendinopathy may be underrecognized.
- Endoscopic management is a viable treatment option for persistent hamstring pain.
- Consider endoscopic evaluation for patients with refractory hamstring pain.
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