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Avulsion of the hamstring muscle group: a follow-up of 6 adult non-athletes with early operative treatment: a brief report


Mica, Ladislav; Schwaller, Adrian; Stoupis, Christoferos; Penka, Igor; Vomela, Jindřich; Vollenweider, Andreas (2009). Avulsion of the hamstring muscle group: a follow-up of 6 adult non-athletes with early operative treatment: a brief report. World Journal of Surgery, 33(8):1605-1610.

Abstract

Background: Complete proximal avulsions of the hamstring muscle group may cause significant morbidity and loss of function. These pelvis-near musculoskeletal injuries are mostly acquired during sports activities in a hip flexion and knee extension. Here we present a study group of 6 middle-aged to elderly patients suffering a complete proximal hamstring avulsion and following early surgical refixation. Early surgical refixation leads to complete resumption of the activities of daily life without loss of function. Materials and methods: The 6 patients (3 men and 3 women) included in this study had an average age of 59.07±4.47years at the time of injury. All of them suffered a complete avulsion of the hamstring muscle group. Surgical refixation was accomplished with the corkscrew anchor refixation system (Arthrex Manufacturing, Inc., Naples, FL). The cases were retrospectively analyzed using a hip joint evaluation system, the Harris Hip Score, and radiological follow-up by magnetic resonance imaging (MRI). Data are given as mean±SEM. Student's t-test was used for normal distribution of the data. Results: The mean follow-up time was 31.83±18.9months (range: 10-118months). All patients were rated not to have a significant difference in function compared with the uninjured side. None of the patients suffered any handicaps resulting from surgery or the injury. A complete consolidation in all patients was observed in the follow-up MRI. Conclusions: Early surgical intervention and subsequent therapy in a complete hamstring avulsion injury may prevent loss of hip-joint stability and prevent the sequalae of degradative hip or vertebral events

Abstract

Background: Complete proximal avulsions of the hamstring muscle group may cause significant morbidity and loss of function. These pelvis-near musculoskeletal injuries are mostly acquired during sports activities in a hip flexion and knee extension. Here we present a study group of 6 middle-aged to elderly patients suffering a complete proximal hamstring avulsion and following early surgical refixation. Early surgical refixation leads to complete resumption of the activities of daily life without loss of function. Materials and methods: The 6 patients (3 men and 3 women) included in this study had an average age of 59.07±4.47years at the time of injury. All of them suffered a complete avulsion of the hamstring muscle group. Surgical refixation was accomplished with the corkscrew anchor refixation system (Arthrex Manufacturing, Inc., Naples, FL). The cases were retrospectively analyzed using a hip joint evaluation system, the Harris Hip Score, and radiological follow-up by magnetic resonance imaging (MRI). Data are given as mean±SEM. Student's t-test was used for normal distribution of the data. Results: The mean follow-up time was 31.83±18.9months (range: 10-118months). All patients were rated not to have a significant difference in function compared with the uninjured side. None of the patients suffered any handicaps resulting from surgery or the injury. A complete consolidation in all patients was observed in the follow-up MRI. Conclusions: Early surgical intervention and subsequent therapy in a complete hamstring avulsion injury may prevent loss of hip-joint stability and prevent the sequalae of degradative hip or vertebral events

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:National licences > 142-005
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Surgery
Language:English
Date:1 August 2009
Deposited On:23 Nov 2018 15:07
Last Modified:15 Apr 2021 14:51
Publisher:Springer
ISSN:0364-2313
OA Status:Green
Publisher DOI:https://doi.org/10.1007/s00268-009-0099-y
PubMed ID:19533218

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