Proximal Hamstring Tears

1. Front Matter

   Pages i-xii

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2. Functional Anatomy of the Hamstrings

   • Lawrence J. Lin, Robert J. Meislin

   Pages 1-10

3. Epidemiology, Biomechanics, and Classification of Proximal Hamstring Injuries

   • Michael Pickell, Brendan Swift

   Pages 11-18

4. Nonoperative Treatment of Proximal Hamstring Tendon Tears

   • Daniel J. Kaplan

   Pages 19-43

5. Surgical Treatment of Partial Proximal Hamstring Tendon Tears

   • Jonathan D. Haskel

   Pages 45-55

6. Surgical Treatment of Acute Proximal Hamstring Tendon Tears

   • Stephen A. Hunt

   Pages 57-72

7. Surgical Management of Chronic Proximal Hamstring Tendon Tears

   • Bogdan A. Matache, Laith Jazrawi

   Pages 73-87

8. Endoscopic Treatment of Proximal Hamstring Tendon Tears

   • Anthony A. Essilfie, Thomas Youm

   Pages 89-99

9. Open Versus Endoscopic Approaches to Proximal Hamstring Tendon Tears: Techniques, Pearls, and Pitfalls

   • Guillem Gonzalez-Lomas, Kamali Thompson

   Pages 101-113

10. Surgical Complications of Proximal Hamstring Tendon Tears

    • David A. Bloom, Graeme Whyte, Thomas Youm

    Pages 115-121

11. Biological Treatment of Proximal Hamstring Tendon Tears

    • David Kirby

    Pages 123-134

12. Rehabilitation After Surgery for Proximal Hamstring Tendon Tears

    • Amit K. Manjunath

    Pages 135-142

13. Proximal Hamstring Injury Rehabilitation and Injury Prevention

    • Jordan W. Fried, Graeme Whyte, Thomas Youm

    Pages 143-153

14. Back Matter

    Pages 155-157

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Currently, there are no texts focused on proximal hamstring pathology and surgical treatment options. While midsubstance muscle tears of the hamstring are typically treated non-operatively, proximal hamstring tears often require surgery, which can create anxiety for the orthopedic surgeon, as the exposure is deep and the sciatic nerve is at risk for injury. Moreover, the algorithm for repairing proximal hamstring tears is complex, as the spectrum of pathology starts from partial tears to acute tears to chronic tears with varying degrees of retraction. With the advent of arthroscopic procedures around the hip, innovative treatment methods such as endoscopic surgery have been utilized to repair the proximal hamstring. For successful treatment of chronic hamstring tendon tears, allograft reconstruction has been shown to be successful. 

The book opens with a thorough review of the relevant functional anatomy of the hamstring and related structures, before moving on to discuss epidemiology, classification and biomechanics of injury. The main focus, however, is on treatment strategies, from non-operative methods, including cutting-edge biologics, to open, endoscopic and arthroscopic approaches for partial, acute and chronic tears. The management of complications and rehabilitation protocols round out the presentation. Detailed illustrative case examples provide real-world demonstration of each chapter's concepts.


Practical and user-friendly, Proximal Hamstring Tears will be very useful for the sports medicine, orthopedic surgery, rehabilitation medicine, and physical therapy communities.

• Acute tear
• Allograft reconstruction
• Chronic tear
• Endoscopic management
• Midsubstance muscle tear
• Open management
• Proximal hamstring
• Sciatic nerve
• Tendinopathy
• Tendon tear

• Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, USA

  Thomas Youm

Thomas Youm, MD, FACS, Clinical Assistant Professor, Director of Hip Arthroscopy, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA

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