Total proximal hamstring ruptures: Clinical and MRI aspects including guidelines for postoperative rehabilitation

Carl M. Askling, George Koulouris, Tönu Saartok, Suzanne Werner, Thomas M. Best

Research output: Contribution to journalReview articlepeer-review

36 Scopus citations

Abstract

The aim of this article is to provide a state-of-the-art review for treatment of acute, total proximal hamstring tendon ruptures. For total proximal hamstring tendon ruptures, early (<2-3 w) surgical refixation minimizes muscle atrophy and facilitates a somewhat predictable time course for healing and rehabilitation. A postoperative rehabilitation program is detailed that has been used by one physical therapist for the past 7 years on over 200 patients with surgical repair for total proximal hamstring tendon rupture. One re-rupture has occurred, 7 months after surgery, following the rehabilitation program described herein. The rehabilitation program, including avoidance of postoperative bracing, appears effective for total proximal hamstring ruptures. Early surgery together with a specific rehabilitation program appears to be the treatment of choice for timely and safe return to sport and an active lifestyle. Level of evidence V.

Original languageEnglish (US)
Pages (from-to)515-533
Number of pages19
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume21
Issue number3
DOIs
StatePublished - Mar 2013
Externally publishedYes

Keywords

  • Physical therapy
  • Surgical treatment
  • Tendon injuries
  • Thigh muscle injuries

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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