TY - JOUR
T1 - Total proximal hamstring ruptures
T2 - Clinical and MRI aspects including guidelines for postoperative rehabilitation
AU - Askling, Carl M.
AU - Koulouris, George
AU - Saartok, Tönu
AU - Werner, Suzanne
AU - Best, Thomas M.
PY - 2013/1/1
Y1 - 2013/1/1
N2 - 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.
AB - 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.
KW - Physical therapy
KW - Surgical treatment
KW - Tendon injuries
KW - Thigh muscle injuries
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U2 - 10.1007/s00167-012-2311-0
DO - 10.1007/s00167-012-2311-0
M3 - Review article
C2 - 23229384
AN - SCOPUS:84874021409
VL - 21
SP - 515
EP - 533
JO - Knee Surgery, Sports Traumatology, Arthroscopy
JF - Knee Surgery, Sports Traumatology, Arthroscopy
SN - 0942-2056
IS - 3
ER -