Acta Scientific Orthopaedics (ISSN: 2581-8635)

Short Communication Volume 4 Issue 10

Do Not Forget Proximal Hamstring Avulsions

Diego Edwards1*, Miguel Carrasco1 and Consuelo Carrasco2

1Clinica Alemana, Universidad del Desarrollo, Sports Medicine, Santiago, Chile
2Faculty of Medicine, Universidad Los Andes, Santiago, Chile

*Corresponding Author: Diego Edwards, Traumatology and Orthopaedic Surgery Department, Clinica Alemana, Universidad del Desarrollo, Sports Medicine, Santiago, Chile.

Received: August 27, 2021; Published: September 23, 2021

Proximal hamstring avulsions (PHA) are rare lesions that can cause permanent functional alterations and a very high risk of re-tear (12% to 31%) [1]. They are present in 9 - 12% of all lesions in this muscle group [2] and most often occur in athletes who require rapid acceleration (running, hurdling) or “ballistic" movements (skiing, skating, weight lifting) [3,4].

Proximal hamstrings comprise 3 tendons: the semitendinosus, the long head of the biceps femori and the semimembranosus (the latter 2, merged at their origin by the conjoined tendon). The mechanism of injury corresponds to eccentric contraction of the PH when trying to resist a fall, with the hip in flexion and the knee in extension. Acute pain is usually reported in the posterior thigh, sometimes accompanied by an audible pop and in some occasions with numbness and tingling in the sciatic nerve distribution [5].

References

  1. Croisier JL. “Factors associated with recurrent hamstring injuries”. Sports Medicine 10 (2004): 681-695.
  2. Koulouris G and Connell D. “Evaluation of the hamstring muscle complex following acute injury”. Skeletal Radiology 32 (2003): 582-589.
  3. Ali K and Leland JM. “Hamstring strains and tears in the athlete”. Clinical Journal of Sport Medicine 2 (2012): 263-272.
  4. Cohen S and Bradley J. “Acute proximal hamstring rupture”. Journal of the American Academy of Orthopaedic Surgeons 6 (2007): 350-355.
  5. Bertiche P., et al. “Proximal hamstring tendon avulsion: state of the art”. Journal of ISAKOS 6 (2021): 237-246.
  6. Koulouris G and Connell D. “Hamstring muscle complex: an imaging review”. Radiographics 25 (2005): 571-586.
  7. Bodendorfer BM., et al. “Outcomes after operative and Nonoperative treatment of proximal hamstring Avulsions: a systematic review and meta-analysis”. The American Journal of Sports Medicine (2017): 363546517732526.
  8. Cohen SB., et al. “Functional results and outcomes after repair of proximal hamstring avulsions”. American Journal of Sports Medicine 40 (2012): 2092-2098.
  9. Pihl E., et al. “Patient-reported outcomes after surgical and non-surgical treatment of proximal hamstring avulsions in middle aged patients”. BMJ Open Sport and Exercise Medicine 5 (2019): e000511.
  10. Harris JD., et al. “Treatment of proximal hamstring ruptures dA systematic review”. International Journal of Sports Medicine 32 (2011): 490-495.
  11. Sallay PI., et al. “Subjective and functional outcomes following surgical repair of complete ruptures of the proximal hamstring complex”. Orthopedics 31 (2008): 1-7.
  12. , et al. “Combined endoscopic and mini-open repair of chronic complete proximal hamstring tendon avulsion: a novel approach and short-term outcomes”. Journal of Hip Preservation Surgery 7.4 (2021): 721-727.
  13. Domb BG., et al. “Endoscopic repair of proximal hamstring avulsion”. Arthroscopy Techniques 2 (2013): e35-39.
  14. Laskovski JR., et al. “Endoscopic proximal hamstring repair and ischial bursectomy using modified portal placement and patient positioning”. Arthroscopy Techniques 7 (2018): e1071-1078.
  15. , et al. “Repair of Proximal Hamstring Tears: A Surgical Technique”. Arthroscopy Techniques 6.2 (2017): e311-e317.

Citation

Citation: Diego Edwards., et al.. “Do Not Forget Proximal Hamstring Avulsions".Acta Scientific Orthopaedics 4.10 (2021): 75-76.

Copyright

Copyright: © 2021 Diego Edwards., et al.. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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