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Managing the return to sport of the elite footballer following semimembranosus reconstruction

Hamstring strains are the most common injury in elite football and typically occur during high-speed running. Despite its important contribution to power production in the late swing phase, injury to the semimembranosus (SM) is less common than to the biceps femoris, but may involve the free tendon...

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Autores principales: Taberner, Matt, Haddad, Fares S, Dunn, Andy, Newall, Adam, Parker, Lloyd, Betancur, Esteban, Cohen, Daniel D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7640780/
https://www.ncbi.nlm.nih.gov/pubmed/33178446
http://dx.doi.org/10.1136/bmjsem-2020-000898
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author Taberner, Matt
Haddad, Fares S
Dunn, Andy
Newall, Adam
Parker, Lloyd
Betancur, Esteban
Cohen, Daniel D
author_facet Taberner, Matt
Haddad, Fares S
Dunn, Andy
Newall, Adam
Parker, Lloyd
Betancur, Esteban
Cohen, Daniel D
author_sort Taberner, Matt
collection PubMed
description Hamstring strains are the most common injury in elite football and typically occur during high-speed running. Despite its important contribution to power production in the late swing phase, injury to the semimembranosus (SM) is less common than to the biceps femoris, but may involve the free tendon and depending on the degree of retraction, warrant surgical repair. Few case reports detail clinical reasoning, supported by objective data during rehabilitation in elite footballers, and none have described the return to sport (RTS) process following this type of hamstring injury. In this article, we outline the management and RTS of an English Premier League (EPL) footballer who suffered a high-grade SM proximal tendon tear during training. Due to the degree of retraction of the free tendon, the player underwent surgical reconstruction at the recommendation of an orthopaedic surgeon. Early physiotherapy care, nutritional support, on- and off-pitch injury-specific reconditioning and global athletic development are outlined, alongside strength and power diagnostic and global positioning systems data, assessment of pain, player feedback and MRI informed clinical reasoning and shared decision-making during the RTS process. 18 weeks post-surgery the player returned to team training, transferring to a new club 3 weeks later. 2.5 years post RTS, the player remains free of re-injury playing regularly in the EPL.
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spelling pubmed-76407802020-11-10 Managing the return to sport of the elite footballer following semimembranosus reconstruction Taberner, Matt Haddad, Fares S Dunn, Andy Newall, Adam Parker, Lloyd Betancur, Esteban Cohen, Daniel D BMJ Open Sport Exerc Med Viewpoint Hamstring strains are the most common injury in elite football and typically occur during high-speed running. Despite its important contribution to power production in the late swing phase, injury to the semimembranosus (SM) is less common than to the biceps femoris, but may involve the free tendon and depending on the degree of retraction, warrant surgical repair. Few case reports detail clinical reasoning, supported by objective data during rehabilitation in elite footballers, and none have described the return to sport (RTS) process following this type of hamstring injury. In this article, we outline the management and RTS of an English Premier League (EPL) footballer who suffered a high-grade SM proximal tendon tear during training. Due to the degree of retraction of the free tendon, the player underwent surgical reconstruction at the recommendation of an orthopaedic surgeon. Early physiotherapy care, nutritional support, on- and off-pitch injury-specific reconditioning and global athletic development are outlined, alongside strength and power diagnostic and global positioning systems data, assessment of pain, player feedback and MRI informed clinical reasoning and shared decision-making during the RTS process. 18 weeks post-surgery the player returned to team training, transferring to a new club 3 weeks later. 2.5 years post RTS, the player remains free of re-injury playing regularly in the EPL. BMJ Publishing Group 2020-10-26 /pmc/articles/PMC7640780/ /pubmed/33178446 http://dx.doi.org/10.1136/bmjsem-2020-000898 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Viewpoint
Taberner, Matt
Haddad, Fares S
Dunn, Andy
Newall, Adam
Parker, Lloyd
Betancur, Esteban
Cohen, Daniel D
Managing the return to sport of the elite footballer following semimembranosus reconstruction
title Managing the return to sport of the elite footballer following semimembranosus reconstruction
title_full Managing the return to sport of the elite footballer following semimembranosus reconstruction
title_fullStr Managing the return to sport of the elite footballer following semimembranosus reconstruction
title_full_unstemmed Managing the return to sport of the elite footballer following semimembranosus reconstruction
title_short Managing the return to sport of the elite footballer following semimembranosus reconstruction
title_sort managing the return to sport of the elite footballer following semimembranosus reconstruction
topic Viewpoint
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7640780/
https://www.ncbi.nlm.nih.gov/pubmed/33178446
http://dx.doi.org/10.1136/bmjsem-2020-000898
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