Your institution is subscribed to Read Institutional Edition. Log in or Sign Up to read full text articles.

JOURNAL ARTICLE

Subjective and functional outcomes following surgical repair of complete ruptures of the proximal hamstring complex

Peter I Sallay, Gregory Ballard, Scott Hamersly, Monica Schrader
Orthopedics 2008, 31 (11): 1092
19226093
Complete ruptures of the proximal hamstring tendon insertion are less common than typical muscle tendon junction strain injuries, with a far more debilitating natural history. The present study was designed to assess the subjective and functional outcomes of a group of patients following surgical repair of both acute and chronic complete proximal hamstring tendon ruptures. Twenty-five patients with an average age of 44 years comprised the study cohort. Clinical and diagnostic tests confirmed the diagnosis. All patients underwent primary repair of the tendon to the ischium with suture anchors and were protected postoperatively for 4 to 6 weeks. Following a progressively phased strengthening and functional exercise program, strength was isokinetically assessed. The Proximal Hamstring Injury Questionnaire was completed by all patients. All patients reported being satisfied with their outcomes following surgical repair. Strength scores for patients who were 6 months to <12 months (N=10) postoperative averaged an 87% (range, 69%-108%) strength return. Patients who were =or> 12 months postoperative (N=15) averaged a 98% strength return (range, 72%-176%). Patients sustaining a severe injury to the hamstring muscle caused by an external load should be suspected of having a proximal hamstring tendon disruption. Magnetic resonance imaging examination is necessary to confirm the diagnosis and assess the pathologic anatomy. Surgical repair of both acute and chronic cases yielded good results with a high degree of patient satisfaction and objective functional recovery.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
19226093
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.