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Hamstring injuries. Current trends in treatment and prevention
U M Kujala1, S Orava, M Järvinen
1Unit for Sports and Exercise Medicine, University of Helsinki, Finland.
Sports Medicine (Auckland, N.Z.)
|June 1, 1997
Summary
Proper warm-ups and stretching prevent hamstring injuries. Treatment for hamstring tears depends on injury severity, balancing immobilization and mobilization for optimal healing and strength recovery.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Rehabilitation Science
Background:
- Hamstring injuries are common, particularly during eccentric exercise.
- Risk factors include previous injury and fatigue.
- Accurate diagnosis is crucial, distinguishing partial tears from avulsions or complete ruptures.
Purpose of the Study:
- To review the diagnosis and treatment of hamstring muscle injuries.
- To emphasize the importance of tailored treatment based on injury grade.
- To discuss the balance between immobilization and mobilization in recovery.
Main Methods:
- Review of existing literature on hamstring injury mechanisms, diagnosis, and treatment.
- Discussion of diagnostic imaging techniques like X-ray, ultrasonography, and MRI.
- Analysis of conservative and surgical treatment strategies based on injury severity.
Main Results:
- Diagnosis relies on mechanism, clinical findings, and imaging.
- Conservative treatment requires careful balancing of immobilization and mobilization.
- Complete ruptures and conservative treatment failures may necessitate surgery.
Conclusions:
- Hamstring injury management must be individualized to the injury grade.
- Optimizing immobilization duration and initiating early mobilization are key for recovery.
- Surgical intervention is indicated for complete ruptures and refractory cases.