Repair of Proximal Hamstring Tears: A Surgical Technique

Proximal hamstring tears are among the most common sports-related injuries. These injuries often occur as strains or partial tears at the proximal muscle belly or the musculotendinous junction, with avulsion injuries of the proximal attachment occurring less frequently. Regardless of the mechanism,...

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Main Authors: Gilbert Moatshe, M.D., Jorge Chahla, M.D., Alexander R. Vap, M.D., Marcio Ferrari, M.D., George Sanchez, B.S., Justin J. Mitchell, M.D., Robert F. LaPrade, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2017-04-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628716301839
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author Gilbert Moatshe, M.D.
Jorge Chahla, M.D.
Alexander R. Vap, M.D.
Marcio Ferrari, M.D.
George Sanchez, B.S.
Justin J. Mitchell, M.D.
Robert F. LaPrade, M.D., Ph.D.
author_facet Gilbert Moatshe, M.D.
Jorge Chahla, M.D.
Alexander R. Vap, M.D.
Marcio Ferrari, M.D.
George Sanchez, B.S.
Justin J. Mitchell, M.D.
Robert F. LaPrade, M.D., Ph.D.
author_sort Gilbert Moatshe, M.D.
collection DOAJ
description Proximal hamstring tears are among the most common sports-related injuries. These injuries often occur as strains or partial tears at the proximal muscle belly or the musculotendinous junction, with avulsion injuries of the proximal attachment occurring less frequently. Regardless of the mechanism, they produce functional impairment and negatively affect an athlete's performance. Various classifications for these injuries are reported in the literature. Early surgical treatment is recommended for patients with either a 2-tendon tear/avulsion with more than 2 cm retraction or those with complete 3-tendon tears. Surgery can be performed in the chronic phase but it is technically demanding because of scar formation and tendon retraction. This Technical Note describes a biomechanically validated surgical technique for repair of the proximal hamstring tears.
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spelling doaj.art-0b30ac6756fa407d94e6f6be52e306ac2022-12-21T22:53:20ZengElsevierArthroscopy Techniques2212-62872017-04-0162e311e317Repair of Proximal Hamstring Tears: A Surgical TechniqueGilbert Moatshe, M.D.0Jorge Chahla, M.D.1Alexander R. Vap, M.D.2Marcio Ferrari, M.D.3George Sanchez, B.S.4Justin J. Mitchell, M.D.5Robert F. LaPrade, M.D., Ph.D.6Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Department of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway; OSTRC, Norwegian School of Sports Sciences, Oslo, NorwaySteadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Robert F. LaPrade, M.D., Ph.D., Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 1000, Vail, Colorado 81657, U.S.A.Proximal hamstring tears are among the most common sports-related injuries. These injuries often occur as strains or partial tears at the proximal muscle belly or the musculotendinous junction, with avulsion injuries of the proximal attachment occurring less frequently. Regardless of the mechanism, they produce functional impairment and negatively affect an athlete's performance. Various classifications for these injuries are reported in the literature. Early surgical treatment is recommended for patients with either a 2-tendon tear/avulsion with more than 2 cm retraction or those with complete 3-tendon tears. Surgery can be performed in the chronic phase but it is technically demanding because of scar formation and tendon retraction. This Technical Note describes a biomechanically validated surgical technique for repair of the proximal hamstring tears.http://www.sciencedirect.com/science/article/pii/S2212628716301839
spellingShingle Gilbert Moatshe, M.D.
Jorge Chahla, M.D.
Alexander R. Vap, M.D.
Marcio Ferrari, M.D.
George Sanchez, B.S.
Justin J. Mitchell, M.D.
Robert F. LaPrade, M.D., Ph.D.
Repair of Proximal Hamstring Tears: A Surgical Technique
Arthroscopy Techniques
title Repair of Proximal Hamstring Tears: A Surgical Technique
title_full Repair of Proximal Hamstring Tears: A Surgical Technique
title_fullStr Repair of Proximal Hamstring Tears: A Surgical Technique
title_full_unstemmed Repair of Proximal Hamstring Tears: A Surgical Technique
title_short Repair of Proximal Hamstring Tears: A Surgical Technique
title_sort repair of proximal hamstring tears a surgical technique
url http://www.sciencedirect.com/science/article/pii/S2212628716301839
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