OWL: OCOSH Classification/Trauma/Muscle Tendon Injuries/Hamstring Rupture

Avulsion injuries of the hamstring origin

Gidwani S, Bircher MD. — 2009-11-11 07:01:11 GMT

Injuries to the hamstring origin are rare and are often initially misdiagnosed as a simple 'hamstring pull', leading to the development of chronic pain and disability. Displaced injuries of the ischial apophysis and pure tendon avulsions are probably best treated surgically in the acute setting. As a result of our experience with these patients, we have produced a management algorithm.
Avulsion injuries of the hamstring origin - a series of 12 patients and management algorithm. Gidwani S, Bircher MD. Ann R Coll Surg Engl. 2007 May;89(4):394-9.

Complete avulsion of the hamstring tendons from the ischial tuberosity

Kurosawa et al — 2009-11-11 07:01:11 GMT

Rupture of the hamstring tendon is a rare injury. Two cases of complete rupture of the hamstring tendons sustained while playing judo are reported. The diagnosis of a rupture of the hamstring tendons was difficult from physical examination because of severe pain on knee or hip joint movement. Magnetic resonance imaging was non-invasive and showed the lesion clearly. In one of these two cases the less satisfactory results of non-operative treatment were clearly shown in both isokinetic muscle force evaluation and sports activities.
Complete avulsion of the hamstring tendons from the ischial tuberosity. A report of two cases sustained in judo. Kurosawa H, Nakasita K, Nakasita H, Sasaki S, Takeda S. Br J Sports Med. 1996 Mar;30(1):72-4.

Hamstring Strain eMedicine PMR

Heftler & Saulino — 2008-04-14 07:01:11 GMT

Hamstring injuries are common problems that may result in significant loss of on-field time for many athletes because these injuries tend to heal slowly. Once injury occurs, the patient is at high risk for recurrence without proper rest and rehabilitation.
Synonyms and related keywords: hamstring pull, rupture
Heftler & Saulino 2005

PubMed Search for Hamstring Rupture

Myles Clough — 2009-11-11 07:01:11 GMT

PubMed Search for Rupture of the Hamstrings. Use the Free Full Text filter to see articles available in full text. (See also Review Filter)

Spontaneous complete hamstring avulsion causing posterior thigh compartment syndrome

Kwong et al — 2009-11-11 07:01:11 GMT

Complete avulsion of the hamstring muscle group from its ischial origin is an uncommon condition, and has been mostly reported in young athletes. A case is presented in which a middle aged man sustained this injury and developed a compartment syndrome of the thigh, which has not been previously reported. The surgical management of this patient is described.
Spontaneous complete hamstring avulsion causing posterior thigh compartment syndrome. Kwong Y, Patel J, Ramanathan EB. Br J Sports Med. 2006 Aug;40(8):723-4

Surgical repair of an acute proximal hamstring tear VuMedi

Not Available — 2011-01-31 07:01:11 GMT

Surgical repair of an acute proximal hamstring tear By: Peter Salla
This 6 min. video illustrates the key steps in performing primary repair of the acutely torn proximal hamstring tendon. Imaging and postoperative care are also discussed.

Surgical repair of complete proximal hamstring tendon ruptures

Chakravarthy et al — 2009-11-11 07:01:11 GMT

CONCLUSION: Complete rupture of the hamstring origin is a potentially devastating sports injury that has implications affecting the individual's activities of daily living as well as potential as a sportsperson. Surgical repair restores the distorted anatomy, allows early functional rehabilitation, and avoids the potential debilitating neurological problem of gluteal sciatica.
Surgical repair of complete proximal hamstring tendon ruptures in water skiers and bull riders: a report of four cases and review of the literature. Chakravarthy J, Ramisetty N, Pimpalnerkar A, Mohtadi N. Br J Sports Med. 2005 Aug;39(8):569-72

Surgical treatment of partial tears of the proximal origin of the hamstring muscles

Lempainen et al — 2009-11-11 07:01:11 GMT

ACKGROUND: Hamstring injuries are common especially in athletes. Partial and complete tears of the proximal origin may cause pain and functional loss. OBJECTIVE: To evaluate the results of surgical treatment for partial proximal hamstring tears. METHODS: Between 1994 and 2005, 47 athletes (48 cases, 1 bilateral) with partial proximal hamstring tears were operated on. The cases were retrospectively analysed. Before surgery, 42 of the patients had undergone conservative treatment with unsatisfactory results, whereas in five patients the operation was performed within four weeks of the injury. RESULTS: The mean length of the follow up was 36 months (range 6-72). The result of the operation was rated excellent in 33 cases, good in nine, fair in four, and poor in two. Forty one patients were able to return to their former level of sport after an average of five months (range 1-12). CONCLUSION: In most cases, excellent or good results can be expected after surgical repair of partial proximal hamstring tears even after conservative treatment has failed.
Surgical treatment of partial tears of the proximal origin of the hamstring muscles. Lempainen L, Sarimo J, Heikkilä J, Mattila K, Orava S. Br J Sports Med. 2006 Aug;40(8):688-91