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J Am Acad Orthop Surg, Vol 15, No 6, June 2007, 350-355.
© 2007 the American Academy of Orthopaedic Surgeons
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Acute Proximal Hamstring Rupture

Steven Cohen, MD and James Bradley, MD

Dr. Cohen is Director, Sports Medicine Research, and Assistant Professor, Department of Orthopaedic Surgery, Rothman Institute Orthopaedics, Thomas Jefferson University Medical School, Philadelphia, PA. Dr. Bradley is Clinical Associate Professor, University of Pittsburgh Medical Center, Pittsburgh, PA.

None of the following authors nor the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Cohen and Dr. Bradley.

Reprint requests: Dr. Cohen, Rothman Institute Orthopaedics, 925 Chestnut Street, Philadelphia, PA 19107-4216.

Hamstring strain is common in athletes, and both diagnosis and surgical treatment of this injury are becoming more common. Nonsurgical treatment of complete ruptures has resulted in complications such as muscle weakness and sciatic neuralgia. Surgical treatment recently has been advocated to repair the complete rupture of the hamstring tendons from the ischial tuberosity. Surgical repair involves a transverse incision in the gluteal crease, protection of the sciatic nerve, mobilization of the ruptured tendons, and repair to the ischial tuberosity with the use of suture anchors. Reports in the literature of surgical treatment of proximal hamstring rupture are few, and most series have had a relatively small number of patients. Surgical repair results project 58% to 85% rate of return to function and sports activity, near normal strength, and decreased pain.




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S. L. Miller and G. R. Webb
The Proximal Origin of the Hamstrings and Surrounding Anatomy Encountered During Repair. Surgical Technique
J. Bone Joint Surg. Am., March 1, 2008; 90(Supplement_2__Part_1): 108 - 116.
[Abstract] [Full Text] [PDF]


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Copyright © 2007 by the American Academy of Orthopaedic Surgeons.