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International Orthopaedics

, Volume 34, Issue 1, pp 119–123 | Cite as

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

  • Sujith Konan
  • Fares Haddad
Original Paper

Abstract

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.

Keywords

Sciatic Nerve Hamstring Muscle Ischial Tuberosity Posterior Thigh Complete Tear 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Resume

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.

Notes

Conflict of interest

No conflicts of interest or disclosures.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Department of OrthopaedicsUniversity College HospitalLondonUK

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