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Current Reviews in Musculoskeletal Medicine
Erschienen in: Current Reviews in Musculoskeletal Medicine 2/2019

26.02.2019 | Outcomes Research in Orthopedics (O Ayeni, Section Editor)

Proximal Hamstring Injuries: Management of Tendinopathy and Avulsion Injuries

verfasst von: Ryan M. Degen

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 2/2019

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Abstract

Purpose of Review

To outline the typical presentation, physical examination, diagnostic imaging, and therapeutic treatment options for proximal hamstring injuries to improve awareness, expedient diagnosis, and definitive management.

Recent Findings

Proximal hamstring tendinopathy and partial-thickness tears can often successfully be managed with a combination of non-operative modalities, including physiotherapy focused on eccentric strengthening, extracorporeal shock wave therapy, or peri-tendinous injections. Surgery is reserved for refractory cases, but can yield good outcomes. Contrastingly, non-operative treatment often leads to unsatisfactory outcomes in complete ruptures, with residual weakness and reduced function with poor return-to-sport rates. Instead, surgical repair can provide satisfactory outcomes, with good-to-excellent functional outcomes and strength, with acute treatment preferred over delayed, chronic repair.

Summary

Hamstring tendinopathy and partial-thickness tears can be successfully treated non-operatively with good functional outcomes, with surgical repair reserved for refractory cases. Complete tears are best managed with surgical repair, allowing improved strength and functional outcomes.
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Metadaten
Titel
Proximal Hamstring Injuries: Management of Tendinopathy and Avulsion Injuries
verfasst von
Ryan M. Degen
Publikationsdatum
26.02.2019
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 2/2019
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-019-09541-x

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