Proximal Hamstring Injuries.

Journal Article (Journal Article;Review)

Proximal hamstring injuries can present as chronic tendinosis, acute strain, partial tendinous avulsions, or complete 3-tendon rupture. Nonoperative management for chronic insertional tendinosis and low-grade tears includes activity modification, anti-inflammatories, and physical therapy. Platelet-rich plasma injections, corticosteroid injections, dry needling, and shock wave therapy are newer therapies that also may provide benefit. Surgical indications include complete, proximal avulsions; partial avulsions with least 2 tendons injured with more than 2 cm of retraction in young, active patients; and partial avulsion injuries or chronic tendinosis that have failed nonoperative management. Surgical management entails open primary repair, endoscopic primary repair, or augmentation/reconstruction.

Full Text

Duke Authors

Cited Authors

  • Fletcher, AN; Cheah, JW; Nho, SJ; Mather, RC

Published Date

  • April 2021

Published In

Volume / Issue

  • 40 / 2

Start / End Page

  • 339 - 361

PubMed ID

  • 33673891

Electronic International Standard Serial Number (EISSN)

  • 1556-228X

Digital Object Identifier (DOI)

  • 10.1016/j.csm.2021.01.003


  • eng

Conference Location

  • United States