Patterns of Hamstring Muscle Tears in the General Population: A Systematic Review.
BACKGROUND:Hamstring tears are well recognised in the sporting population. Little is known about these injuries in the general population. PURPOSE:Evaluating the rates, patterns and risk factors of non-sporting hamstring tears, compared to sporting related hamstring tears. DATA SOURCES:MEDLINE, EMBA...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2016-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC4856270?pdf=render |
| _version_ | 1811291516106178560 |
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| author | Barbara Kuske David F Hamilton Sam B Pattle A Hamish R W Simpson |
| author_facet | Barbara Kuske David F Hamilton Sam B Pattle A Hamish R W Simpson |
| author_sort | Barbara Kuske |
| collection | DOAJ |
| description | BACKGROUND:Hamstring tears are well recognised in the sporting population. Little is known about these injuries in the general population. PURPOSE:Evaluating the rates, patterns and risk factors of non-sporting hamstring tears, compared to sporting related hamstring tears. DATA SOURCES:MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials (1989-2015). STUDY SELECTION:Studies reporting patients with a grade 2 or 3 hamstring muscle tear, identified clinically, confirmed by MRI imaging or direct visualisation during surgical exploration. DATA SYNTHESIS:144 sets of linked data were extracted for analysis. Most injuries were in males (81.3%), where mean age at injury was lower (30.2, 95% CI 29.1-31.3) than in females (35.4, 95% CI 32.4-38.4) p = 0.06. Key differences were found in the proportion of non-sporting injuries in patients under and over the age 40 (p = 0.001). The proportion of non-sporting injuries was significantly higher in females compared to males (25.9% female non-sporting injuries, versus 8.5% male; p = 0.02). Avulsions were more frequently reported in non-sporting activities (70.5%). The proportion of such injuries was notably higher in females, though this failed to meet significance (p = 0.124). Grouped by age category a bimodal distribution was noted, with the proportion of avulsions greater in younger (age <15) and older patients (age > 40) (p = 0.008). 86.8% of patients returned to pre-injury activity levels with a similar frequency across all study variables; age, activity (sporting vs non-sporting) and injury type (avulsion vs tear). CONCLUSION:This review highlights a proportion of adults suffering grade 2 or 3 hamstring injuries from activities other than the classic sports trauma. The majority of these non-sporting injuries were avulsion injuries that clustered in older female and skeletally immature patients suggesting a potential link to bone mineral density. |
| first_indexed | 2024-04-13T04:30:37Z |
| format | Article |
| id | doaj.art-9ff9410579404d99b6fbe237d3dd4723 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T04:30:37Z |
| publishDate | 2016-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-9ff9410579404d99b6fbe237d3dd47232022-12-22T03:02:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01115e015285510.1371/journal.pone.0152855Patterns of Hamstring Muscle Tears in the General Population: A Systematic Review.Barbara KuskeDavid F HamiltonSam B PattleA Hamish R W SimpsonBACKGROUND:Hamstring tears are well recognised in the sporting population. Little is known about these injuries in the general population. PURPOSE:Evaluating the rates, patterns and risk factors of non-sporting hamstring tears, compared to sporting related hamstring tears. DATA SOURCES:MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials (1989-2015). STUDY SELECTION:Studies reporting patients with a grade 2 or 3 hamstring muscle tear, identified clinically, confirmed by MRI imaging or direct visualisation during surgical exploration. DATA SYNTHESIS:144 sets of linked data were extracted for analysis. Most injuries were in males (81.3%), where mean age at injury was lower (30.2, 95% CI 29.1-31.3) than in females (35.4, 95% CI 32.4-38.4) p = 0.06. Key differences were found in the proportion of non-sporting injuries in patients under and over the age 40 (p = 0.001). The proportion of non-sporting injuries was significantly higher in females compared to males (25.9% female non-sporting injuries, versus 8.5% male; p = 0.02). Avulsions were more frequently reported in non-sporting activities (70.5%). The proportion of such injuries was notably higher in females, though this failed to meet significance (p = 0.124). Grouped by age category a bimodal distribution was noted, with the proportion of avulsions greater in younger (age <15) and older patients (age > 40) (p = 0.008). 86.8% of patients returned to pre-injury activity levels with a similar frequency across all study variables; age, activity (sporting vs non-sporting) and injury type (avulsion vs tear). CONCLUSION:This review highlights a proportion of adults suffering grade 2 or 3 hamstring injuries from activities other than the classic sports trauma. The majority of these non-sporting injuries were avulsion injuries that clustered in older female and skeletally immature patients suggesting a potential link to bone mineral density.http://europepmc.org/articles/PMC4856270?pdf=render |
| spellingShingle | Barbara Kuske David F Hamilton Sam B Pattle A Hamish R W Simpson Patterns of Hamstring Muscle Tears in the General Population: A Systematic Review. PLoS ONE |
| title | Patterns of Hamstring Muscle Tears in the General Population: A Systematic Review. |
| title_full | Patterns of Hamstring Muscle Tears in the General Population: A Systematic Review. |
| title_fullStr | Patterns of Hamstring Muscle Tears in the General Population: A Systematic Review. |
| title_full_unstemmed | Patterns of Hamstring Muscle Tears in the General Population: A Systematic Review. |
| title_short | Patterns of Hamstring Muscle Tears in the General Population: A Systematic Review. |
| title_sort | patterns of hamstring muscle tears in the general population a systematic review |
| url | http://europepmc.org/articles/PMC4856270?pdf=render |
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