Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 16, Issue 8, pp 797–802

Rupture of the conjoint tendon at the proximal musculotendinous junction of the biceps femoris long head: a case report

  • Anthony G. Schache
  • George Koulouris
  • Warren Kofoed
  • Hayden G. Morris
  • Marcus G. Pandy
Sports Medicine

DOI: 10.1007/s00167-008-0517-y

Cite this article as:
Schache, A.G., Koulouris, G., Kofoed, W. et al. Knee Surg Sports Traumatol Arthr (2008) 16: 797. doi:10.1007/s00167-008-0517-y

Abstract

This case report describes a 20-year-old elite-level Australian Rules football player who suffered three unilateral hamstring injuries within a 2 month period. The first two episodes were managed conservatively. Magnetic resonance imaging following the third episode revealed full thickness disruption of the proximal musculotendinous junction of the biceps femoris long head and semitendinosus muscles and the common proximal (conjoint) tendon. The injury was subsequently surgically repaired. At 16 months following surgery, the player had successfully completed a full competitive season of elite-level Australian Rules football symptom free. Follow-up magnetic resonance imaging demonstrated the repaired tendon to be uniformly hypointense in keeping with reparative granulation tissue formation and restoration of normal muscle morphology. These findings are consistent with an intact repair. The case demonstrates that complete functional and radiological resolution is possible following surgical repair of significant hamstring musculotendinous junction tears.

Keywords

HamstringMagnetic resonance imagingStrainRecurrenceSurgeryMusculotendinous junctionBiceps femoris long head

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Anthony G. Schache
    • 1
    • 3
  • George Koulouris
    • 2
  • Warren Kofoed
    • 3
  • Hayden G. Morris
    • 4
  • Marcus G. Pandy
    • 1
  1. 1.Department of Mechanical EngineeringUniversity of MelbourneMelbourneAustralia
  2. 2.Department of Medical ImagingVictoria House HospitalMelbourneAustralia
  3. 3.Richmond Football ClubMelbourneAustralia
  4. 4.The Park ClinicMelbourneAustralia