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Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment
BACKGROUND: As compared with injuries involving muscle only, those involving the central hamstring tendon have a worse prognosis. Limited information is available regarding the surgical treatment of central tendon injuries of the hamstrings. PURPOSE: To describe the operative treatment and outcomes...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818092/ https://www.ncbi.nlm.nih.gov/pubmed/29479545 http://dx.doi.org/10.1177/2325967118755992 |
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author | Lempainen, Lasse Kosola, Jussi Pruna, Ricard Puigdellivol, Jordi Sarimo, Janne Niemi, Pekka Orava, Sakari |
author_facet | Lempainen, Lasse Kosola, Jussi Pruna, Ricard Puigdellivol, Jordi Sarimo, Janne Niemi, Pekka Orava, Sakari |
author_sort | Lempainen, Lasse |
collection | PubMed |
description | BACKGROUND: As compared with injuries involving muscle only, those involving the central hamstring tendon have a worse prognosis. Limited information is available regarding the surgical treatment of central tendon injuries of the hamstrings. PURPOSE: To describe the operative treatment and outcomes of central tendon injuries of the hamstrings among athletes. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Eight athletes (6 top level, 2 recreational) with central hamstring tendon injuries underwent magnetic resonance imaging and surgical treatment. The indication for surgery was recurrent (n = 6) or acute (n = 2) central hamstring tendon injury. All patients followed the same postoperative rehabilitation protocol, and return to play was monitored. RESULTS: Magnetic resonance imaging found a central tendon injury in all 3 hamstring muscles (long head of the biceps femoris, semimembranosus, and semitendinosus) with disrupted tendon ends. In acute and recurrent central tendon injuries, full return to play was achieved at 2.5 to 4 months. There were no adverse events during follow-up. CONCLUSION: Central tendon injuries of the hamstrings can be successfully repaired surgically after acute and recurrent ruptures. |
format | Online Article Text |
id | pubmed-5818092 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-58180922018-02-23 Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment Lempainen, Lasse Kosola, Jussi Pruna, Ricard Puigdellivol, Jordi Sarimo, Janne Niemi, Pekka Orava, Sakari Orthop J Sports Med 54 BACKGROUND: As compared with injuries involving muscle only, those involving the central hamstring tendon have a worse prognosis. Limited information is available regarding the surgical treatment of central tendon injuries of the hamstrings. PURPOSE: To describe the operative treatment and outcomes of central tendon injuries of the hamstrings among athletes. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Eight athletes (6 top level, 2 recreational) with central hamstring tendon injuries underwent magnetic resonance imaging and surgical treatment. The indication for surgery was recurrent (n = 6) or acute (n = 2) central hamstring tendon injury. All patients followed the same postoperative rehabilitation protocol, and return to play was monitored. RESULTS: Magnetic resonance imaging found a central tendon injury in all 3 hamstring muscles (long head of the biceps femoris, semimembranosus, and semitendinosus) with disrupted tendon ends. In acute and recurrent central tendon injuries, full return to play was achieved at 2.5 to 4 months. There were no adverse events during follow-up. CONCLUSION: Central tendon injuries of the hamstrings can be successfully repaired surgically after acute and recurrent ruptures. SAGE Publications 2018-02-15 /pmc/articles/PMC5818092/ /pubmed/29479545 http://dx.doi.org/10.1177/2325967118755992 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | 54 Lempainen, Lasse Kosola, Jussi Pruna, Ricard Puigdellivol, Jordi Sarimo, Janne Niemi, Pekka Orava, Sakari Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment |
title | Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment |
title_full | Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment |
title_fullStr | Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment |
title_full_unstemmed | Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment |
title_short | Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment |
title_sort | central tendon injuries of hamstring muscles: case series of operative treatment |
topic | 54 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818092/ https://www.ncbi.nlm.nih.gov/pubmed/29479545 http://dx.doi.org/10.1177/2325967118755992 |
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