Total proximal hamstring ruptures: clinical and MRI aspects including guidelines for postoperative rehabilitation
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- Askling, C.M., Koulouris, G., Saartok, T. et al. Knee Surg Sports Traumatol Arthrosc (2013) 21: 515. doi:10.1007/s00167-012-2311-0
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The aim of this article is to provide a state-of-the-art review for treatment of acute, total proximal hamstring tendon ruptures. For total proximal hamstring tendon ruptures, early (<2–3 w) surgical refixation minimizes muscle atrophy and facilitates a somewhat predictable time course for healing and rehabilitation. A postoperative rehabilitation program is detailed that has been used by one physical therapist for the past 7 years on over 200 patients with surgical repair for total proximal hamstring tendon rupture. One re-rupture has occurred, 7 months after surgery, following the rehabilitation program described herein. The rehabilitation program, including avoidance of postoperative bracing, appears effective for total proximal hamstring ruptures. Early surgery together with a specific rehabilitation program appears to be the treatment of choice for timely and safe return to sport and an active lifestyle.
Level of evidence V.