Abstract
While outside of the knee joint itself, the distal hamstrings play an important functional role in movement and activity. Distal hamstring injuries are rare but an important injury consideration in the differential diagnosis of posterior thigh and knee pain in the adolescent patient. It is important to understand that the hamstring is a biarticular tendon-muscle complex that crosses both the hip and knee. This makes it susceptible to both stretch and eccentric load injuries. Rehabilitation from distal hamstring injuries can be achieved with a graduated protocol and progressive return to play. Prevention is aimed at maintaining flexibility and progressive loading exercises.
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References
Blackburn JT, Norcross MF, Cannon LN, Zinder SM. Hamstrings stiffness and landing biomechanics linked to anterior cruciate ligament loading. J Athl Train. 2013;48(6):764–72.
Beltran J, Matityahu A, Hwang K, Jbara M, Maimon R, Padron M, et al. The distal semimembranosus complex: normal MR anatomy, variants, biomechanics and pathology. Skelet Radiol. 2003;32(8):435–45.
Linklater JM, Hamilton B, Carmichael J, Orchard J, Wood DG. Hamstring injuries: anatomy, imaging, and intervention. Semin Musculoskelet Radiol. 2010;14(2):131–61.
Woodley SJ, Mercer SR. Hamstring muscles: architecture and innervation. Cells Tissues Organs. 2005;179(3):125–41.
Lieber RL, Friden J. Functional and clinical significance of skeletal muscle architecture. Muscle Nerve. 2000;23(11):1647–66.
De Smet AA, Best TM. MR imaging of the distribution and location of acute hamstring injuries in athletes. AJR Am J Roentgenol. 2000;174(2):393–9.
Terry GC, LaPrade RF. The biceps femoris muscle complex at the knee. Its anatomy and injury patterns associated with acute anterolateral–anteromedial rotatory instability. Am J Sports Med. 1996;24(1):2–8.
Ahmad CS, Redler LH, Ciccotti MG, Maffulli N, Longo UG, Bradley J. Evaluation and Management of Hamstring Injuries. Am J Sports Med. 2013;41(12):2933–47.
In Overlin AJFG. Madden CC, Putukian M, McCarty EC, young CC. Netter’s sports medicine. 2nd edition. Philadephia: Elsevier; 2018. Table. 90:7.
Roe M, Murphy JC, Gissane C, Blake C. Hamstring injuries in elite Gaelic football: an 8-year investigation to indentify injry rates, time-loss patterns and players at increased risk. Br J Sports Med. 2018;53(15):982–8.
Crema MD, Guermazi A, Tol JL, Niu J, Hamilton B, Roemer FW. Acute hamstring injury in football players: association between anatomical location and extent of injury-a large single-center MRI report. J Sci Med Sport. 2016 Apr;19(4):317–22.
Freckleton G, Pizzari T. Risk factors for hamstring muscle injury in sport: a systematic review and meta-analysis. Br J Sports Med. 2013 Apr;47(6):351–8.
Gabbe BJ, Bennell KL, Finch CF. Why are older Australian football players at greater risk of hamstring injury? J Sci Med Sport. 2006 Aug;9(4):327:33.
Valle X, Malliaropoulos N, Parraga Botero JD, Bikos G, Pruna R, Monaco M, Maffulli N. Hamstring and other thigh injuries in children and young athletes. Scand J Med Sci Sports. 2018 Dec;28(12):2630–7.
Ropiak CR, Bosco JA. Hamstring Injuries. Bull NYU Hosp Jt Dis. 2012;70(1):41–8.
Andersen TE, Tenga A, Engebretsen L, Bahr R. Video analysis of injuries and incidents in Norwegian professional football. Br J Sports Med. 2004;38(5):626–31.
Cohen SB, Bradley J. Acute proximal hamstring rupture. J Am Acad Orthop Surg. 2007;15:350–5.
Cacchio A, Borra F, Severini G, et al. Reliability and validity of three pain provocation tests used for the diagnosis of chronic proximal hamstring tendinopathy. Br. J Sports Med. 2012;46:883Y7.
Connell DA, Schneider-Kolsky ME, Hoving JL, et al. Longitudinal study comparing sonographic and MRI assessments of acute and healing hamstring injuries. AJR Am J Roentgenol. 2004;183:975Y84.
Aldebeyan S, Boily M, Martineau PA. Complete tear of the distal hamstring tendons in a professional football player: a case report and review of the literature. Skelet Radiol. 2016 Mar;45(3):427–30.
Mishra D, Friden J, Schmitz M, Lieber R. Antiinflammatory medication after muscle injury. A treatment resulting in short-term improvement but subsequent loss of muscle function. J Bone Joint Surg Am. 1995;77:1510–9.
Mendiguchia J, Brughelli M. A return-to-sport algorithm for acute hamstring injuries. Phys Ther Sport. 2011;12:2–14.
Järvinen TA, Järvinen TL, Kääriäinen M, Äärimaa V, Vaittinen S, Kalimo H, et al. Muscle injuries: optimising recovery. Best Pract Res Clin Rheumatol. 2007;21(2):317–31.
Sherry MA, Johnston TS, Heiderscheit BC. Rehabilitation of acute hamstring strain injuries. Clin Sports Med. 2015;34(2):263–84.
Levine WN, Bergfeld JA, Tessendorf W, Moorman CT 3rd. Intramuscular corticosteroid injection for hamstring injuries. A 13-year experience in the National Football League. Am J Sports Med 2000; 28(3):297–300.
Scutt N, Rolf CG, Scutt A. Glucocorticoids inhibit tenocyte proliferation and tendon progenitor cell recruitment. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2006;24(2):173–82.
Reurink G, Goudswaard GJ, Moen MH, Weir A, Verhaar JA, Bierma-Zeinstra SM, et al. Rationale, secondary outcome scores and 1-year follow-up of a randomised trial of platelet-rich plasma injections in acute hamstring muscle injury: the Dutch hamstring injection therapy study. Br J Sports Med. 2015;49(18):1206–12.
Rossi LA, Molina Rómoli AR, Bertona Altieri BA, Burgos Flor JA, Scordo WE, Elizondo CM. Does platelet-rich plasma decrease time to return to sports in acute muscle tear? A randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2017 Oct;25(10):3319–25.
Sheth U, Dwyer T, Smith I, Wasserstein D, Theodoropoulos J, Takhar S, Chahal J. Does platelet-rich plasma lead to earlier return to sport when compared with conservative treatment in acute muscle injuries? A systematic review and meta-analysis. Arthroscopy. 2018;34(1):281–8.
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Napolitano, J., Gupta, A. (2021). Hamstring Injury. In: Coleman, N. (eds) Common Pediatric Knee Injuries. Springer, Cham. https://doi.org/10.1007/978-3-030-55870-3_18
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DOI: https://doi.org/10.1007/978-3-030-55870-3_18
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