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Proximal Hamstring Injuries.

Publication ,  Journal Article
Fletcher, AN; Cheah, JW; Nho, SJ; Mather, RC
Published in: Clin Sports Med
April 2021

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.

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Published In

Clin Sports Med

DOI

EISSN

1556-228X

Publication Date

April 2021

Volume

40

Issue

2

Start / End Page

339 / 361

Location

United States

Related Subject Headings

  • Tendons
  • Tendon Injuries
  • Tendinopathy
  • Soft Tissue Injuries
  • Rupture
  • Orthopedics
  • Humans
  • Hamstring Muscles
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences
 

Citation

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Fletcher, A. N., Cheah, J. W., Nho, S. J., & Mather, R. C. (2021). Proximal Hamstring Injuries. Clin Sports Med, 40(2), 339–361. https://doi.org/10.1016/j.csm.2021.01.003
Fletcher, Amanda N., Jonathan W. Cheah, Shane J. Nho, and Richard C. Mather. “Proximal Hamstring Injuries.Clin Sports Med 40, no. 2 (April 2021): 339–61. https://doi.org/10.1016/j.csm.2021.01.003.
Fletcher AN, Cheah JW, Nho SJ, Mather RC. Proximal Hamstring Injuries. Clin Sports Med. 2021 Apr;40(2):339–61.
Fletcher, Amanda N., et al. “Proximal Hamstring Injuries.Clin Sports Med, vol. 40, no. 2, Apr. 2021, pp. 339–61. Pubmed, doi:10.1016/j.csm.2021.01.003.
Fletcher AN, Cheah JW, Nho SJ, Mather RC. Proximal Hamstring Injuries. Clin Sports Med. 2021 Apr;40(2):339–361.
Journal cover image

Published In

Clin Sports Med

DOI

EISSN

1556-228X

Publication Date

April 2021

Volume

40

Issue

2

Start / End Page

339 / 361

Location

United States

Related Subject Headings

  • Tendons
  • Tendon Injuries
  • Tendinopathy
  • Soft Tissue Injuries
  • Rupture
  • Orthopedics
  • Humans
  • Hamstring Muscles
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences