Samenvatting
Een complete ruptuur van de proximale hamstrings is een zeldzaam letsel, waarbij de diagnose regelmatig te laat gesteld wordt. Deze ruptuur komt vooral voor bij watersporters en atleten en ontstaat door een geforceerde excentrische spiercontractie met de heup in hyperflexie en de knie in extensie. De ruptuur vereist een snelle diagnose en adequate behandeling om chronische morbiditeit of functieverlies te voorkomen.
Abstract
A complete rupture of the proximal hamstring is a rare injury. The diagnosis is often made too late.
This rupture occurs particularly in water sports and athletics. It is caused by a forced eccentric muscle contraction with hyperflection of the hip and the knee in extension. To prevent chronic morbidity and loss of function, it is important to make the correct diagnosis quickly and to start the right treatment as soon as possible.
Literatuur
Carmichael J, Packham I, Trikha SP, Wood DG. Avulsion of the proximal hamstring origin surgical technique. Bone Joint Surg Am. 2009 Oct 01;91():249-56.
Harris JD, Griesser MJ, Best TM, Ellis TJ. Treatment of proximal hamstring ruptures. A systematic review. Int J Sports Med. 2011;32: 490-5.
Chakravarthy J, Ramisetty N, Pimpalnerkar A, Mohtadi N. 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;39:569-72.
Anthony E, Johnson, Orthopaedic Surgery Service USA. Team Physician, All Army Sports. Hamstring tendon origin avulsions. Fort Eustis (VA): McDonald Army Health Center; 2015.
Gidwani S, Bircher MD. Avulsion injuries of the hamstring origin - a series of 12 patients and management algorithm. R Coll Surg Engl. 2007;89:394-9.
El Shazly O, Abou El Soud MM, El Mikkawy DME, El Ganzoury I, et al. Endoscopic-assisted achilles tendon reconstruction with free hamstring tendon autograft for chronic rupture of Achilles tendon: clinical and isokinetic evaluation. Arthroscopy. 2014 May;30(5):622-8.
Made AD van der, Reurink G, Gouttebarge V, Tol JL, Kerkhoffs GM. Outcome after surgical repair of proximal hamstring avulsions: a systematic review. Am J Sports Med. 2015 Nov;43(11):2841-51.
Author information
Authors and Affiliations
Additional information
1 co-assistent, semi-arts
2 traumachirurg, afdeling Chirurgie
* Beide auteurs zijn verbonden aan Ziekenhuisgroep Twente, Almelo
Rights and permissions
About this article
Cite this article
Banierink, E., ten Cate, W. Avulsie van de proximale hamstrings. Ned Tijdschr Traumachir 24, 18–20 (2016). https://doi.org/10.1007/s12506-016-0005-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12506-016-0005-9