Proximal Hamstring Injuries.

Proximal hamstring injuries can present as chronic tendinosis, acute strain, partial tendinous avulsions, or complete 3-tendon rupture. Nonoperative management for chronic insertional tendinosis and low-grade tears includes activity modification, anti-inflammatories, and physical therapy. Platelet-rich plasma injections, corticosteroid injections, dry needling, and shock wave therapy are newer therapies that also may provide benefit. Surgical indications include complete, proximal avulsions; partial avulsions with least 2 tendons injured with more than 2 cm of retraction in young, active patients; and partial avulsion injuries or chronic tendinosis that have failed nonoperative management. Surgical management entails open primary repair, endoscopic primary repair, or augmentation/reconstruction. Copyright © 2021 Elsevier Inc. All rights reserved.

Citation

Amanda N Fletcher, Jonathan W Cheah, Shane J Nho, Richard C Mather. Proximal Hamstring Injuries. Clinics in sports medicine. 2021 Apr;40(2):339-361

Mesh Tags

PMID: 33673891

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