Treatment of Proximal Hamstring Ruptures – A Systematic Review

Abstract Proximal hamstring ruptures are increasingly treated surgically, despite little high-level supporting evidence. We sought to determine whether there are differences in clinical outcome after surgical vs. non-surgical treatment of proximal hamstring tendinous avulsions/ruptures and acute vs....

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Bibliographic Details
Published in:	International journal of sports medicine 2011-07, Vol.32 (7), p.490-495
Main Authors:	Harris, J. D., Griesser, M. J., Best, T. M., Ellis, T. J.
Format:	Article
Language:	eng
Subjects:	Adult Athletic Injuries - physiopathology Athletic Injuries - surgery Athletic Injuries - therapy Biological and medical sciences Female Fundamental and applied biological sciences. Psychology Humans Male Middle Aged Muscle Strength Patient Satisfaction Recovery of Function Review Rupture - physiopathology Rupture - surgery Rupture - therapy Tendon Injuries - physiopathology Tendon Injuries - surgery Tendon Injuries - therapy Thigh Treatment Outcome Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports
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Summary:	Abstract Proximal hamstring ruptures are increasingly treated surgically, despite little high-level supporting evidence. We sought to determine whether there are differences in clinical outcome after surgical vs. non-surgical treatment of proximal hamstring tendinous avulsions/ruptures and acute vs. chronic surgical repair of tendinous avulsions. Multiple medical databases were searched for Level I–IV evidence. 18 studies were included. 298 subjects (300 proximal hamstring injuries) were analyzed with mean age of 39.7 years. 286 injuries were managed with surgical repair vs. 14 non-operative. 95 surgical cases were performed within 4 weeks of the injury (acute), while 191 were performed beyond 4 weeks (chronic). 292 injuries were tendinous avulsions while 8 were bony tuberosity avulsions. Surgical repair resulted in significantly (p
ISSN:	0172-4622 1439-3964