Your browser doesn't support javascript.
loading
Conservative management of proximal hamstring avulsion: A clinical study.
Mendel, Thomas; Steinke, Mark; Schenk, Philipp; Migliorini, Filippo; Schütte, Vincent; Reisberg, André; Kobbe, Philipp; Heinecke, Markus.
Afiliación
  • Mendel T; BG Hospital Bergmannstrost Halle, Department of Trauma and Reconstructive Surgery, Halle, Germany.
  • Steinke M; University Hospital Halle, Martin Luther University Halle-Wittenberg, Department of Trauma Surgery, Halle, Germany.
  • Schenk P; BG Hospital Bergmannstrost Halle, Department of Trauma and Reconstructive Surgery, Halle, Germany.
  • Migliorini F; BG Hospital Bergmannstrost Halle, Research Executive Department, Halle, Germany.
  • Schütte V; Department of Orthopaedic and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical University, 39100 Bolzano, Italy.
  • Reisberg A; Gesundheitszentrum Halle-Neustadt, Center Orthopaedic Surgery, Halle, Germany.
  • Kobbe P; BG Hospital Bergmannstrost Halle, Department of Radiology and Neuroradiology, Halle, Germany.
  • Heinecke M; BG Hospital Bergmannstrost Halle, Department of Trauma and Reconstructive Surgery, Halle, Germany.
J Orthop ; 55: 74-79, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38665987
ABSTRACT

Introduction:

The management of proximal hamstring tear (PHT) is debated and consensus regarding recommended measures and individual treatment regimens is lacking. The present investigation evaluated the efficacy of a conservative management of partial and complete PHT.

Methods:

The present observational study was conducted following the STROBE statement. In June 2018 the medical databases of the BG Klinikum Bergmannstrost Halle, Germany were accessed. All the patients with PHT were retrieved. The outcomes of interest were to evaluate the clinical examination, PROMs, imaging, and isokinetic muscle strength at the baseline and last follow-up.

Results:

31 patients were enrolled in the present study. Nine patients (29 % (9 of 31) described local pain at the ischial tuberosity in sitting situations and also in manual palpation. A persistent gap in the tendon string beneath the tuberosity in manual palpation was reported in 25.8 % (8 of 31). The mean VAS at the last follow-up was 2.3 ± 2.3. The mean LEFS score was 50.9 ± 18.8.Control MRI at follow-up showed scarring restitution in the proximal tendon in all patients in the partial tear group. In the complete tear group, a persisting defect state of the proximal tendon course was found in 45 % (9 of 20). The injured side achieved 81.5 ± 22.2 % of the force of the uninjured side, measured in the flexion movement at 60°/s. At an angular velocity of 240°/s, 83.2 ± 26.3 % of the force of the uninjured side was achieved.

Conclusion:

According to the main findings of the present study, conservative therapy of PTH tears is associated with good clinical outcomes. High-quality investigations are required to establish the proper therapeutic algorithm and advantages of conservative management compared to a surgical approach. Level of evidence Level III.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: India