Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Feb;34(1):119-23.
doi: 10.1007/s00264-009-0739-8. Epub 2009 Feb 28.

Successful return to high level sports following early surgical repair of complete tears of the proximal hamstring tendons

Sujith Konan  1 , Fares Haddad
Affiliations

Successful return to high level sports following early surgical repair of complete tears of the proximal hamstring tendons

Sujith Konan et al. Int Orthop. 2010 Feb.

Abstract
in English, French

The purpose of this study was to investigate the outcome of surgical management of acute complete proximal hamstring tendon tears. This was a prospective review of a case series from a tertiary referral centre. Ten patients presenting with complete proximal hamstring tendon tears were confirmed on MRI. All patients underwent surgical exploration and repair of the torn tendons with the aim of returning to normal activities and sports. Isokinetic muscle testing was performed using a dynamometer. The Cybex dynamometer (Cybex International, Ronkonkowa, NY) testing revealed almost comparable readings for the operated versus the non-operated side. An average peak torque of the operated hamstring muscles of 82.78% (range 47.16-117.88%), compared to the contralateral leg, was noted at six months. An excellent outcome was found in terms of return to normal activities and sports. Early surgical repair and physiotherapy has been noted to be associated with a good outcome and enables an early return to high level sports after complete tear of the proximal hamstring tendons.

Les lésions du tendon des jumeaux au mollet ont assez fréquentes dans la pratique sportive. Les traumatismes peuvent varier du simple étirement musculaire à une rupture complète. Nous avons comparé une série de 10 athlètes ayant présentés entre 2002 et 2007 des lésions complètes de déchirure des muscles jumeaux pour lesquelles une exploration chirurgicale a été réalisée ainsi qu’une réinsertion. Ces patients ont été suivis par des spécialistes de physiothérapie en surveillant leur programme de rééducation. Le devenir de ces patients a été excellent et ces derniers ont pu retourner à leurs activités sportives normales. Le Cybex a permis de montrer que les performances des muscles réinsérés étaient identiques à celles du côté non opéré. Le couple sur le côté opéré: 82,78% (47,16–117,88%) est comparable au côté contro-latéral noté à 6 mois.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Magnetic resonance imaging (MRI) of a torn proximal hamstring origin
Fig. 2
Fig. 2
Bruising at the site of hamstring origin and the figure of ‘7’ incision
Fig. 3
Fig. 3
The torn hamstring tendon identified
Fig. 4
Fig. 4
Suture anchors used to approximate the tendon to bone
Fig. 5
Fig. 5
Isokinetic muscle testing with analysis of average torque at 0, 25, 50, 75, 100 and 120 degrees of knee flexion
Fig. 6
Fig. 6
Isokinetic muscle testing with analysis of average torque at 0, 25, 50, 75, 100 and 120 degrees of knee flexion
See this image and copyright information in PMC

References

    1. Baleani M, Ohman C, Guandalini L, et al. Comparative study of different tendon grasping techniques for arthroscopic repair of the rotator cuff. Clin Biomech. 2006;21:799–803. doi: 10.1016/j.clinbiomech.2006.04.011. - DOI - PubMed
    1. Blasier RB, Morawa LG. Complete rupture of the hamstring origin from water skiing injury. Am J Sports Med. 1990;18:435–437. doi: 10.1177/036354659001800419. - DOI - PubMed
    1. Chakravarthy J, Ramisetty N, Pimpalnerkar A, et al. Surgical repair of complete proximal hamstring tendon ruptures in water skiers and bull riders: a report of four cases and review of the literature. Br J Sports Med. 2005;39:569–572. doi: 10.1136/bjsm.2004.015719. - DOI - PMC - PubMed
    1. Cross MJ, Vandersluis R, Wood D, et al. Surgical repair of chronic complete hamstring tendon rupture in the adult patient. Am J Sports Med. 1998;26:785–788. - PubMed
    1. Klingele KE, Sallay PI (2002) Surgical repair of complete proximal hamstring tendon rupture. Am J Sports Med 30:742–747 - PubMed

MeSH terms