Proximal Hamstring Tears

The book opens with a thorough review of the relevant functional anatomy of the hamstring and related structures, before moving on to discuss epidemiology, classification and biomechanics of injury.

Proximal Hamstring Tears

Author: Thomas Youm

Publisher: Springer Nature

ISBN: 3030560252


View: 902

Functional Soft Tissue Examination and Treatment by Manual Methods

The amount of ecchymosis at the injury site is not necessarily related to the
severity of the injury. ... Common areas of hamstring tears are the proximal
semitendinosus, about 9% inch inferior to the pelvis, and the lateral side of the
posterior ...

Functional Soft Tissue Examination and Treatment by Manual Methods

Author: Warren Hammer

Publisher: Jones & Bartlett Learning

ISBN: 9780763727673

Page: 625

View: 542

This second edition of this very successful book includes chapters written by experts in the methods of manual treatment and provides step-by-step instructions on how to examine your patient using a logical sequence of passive, contractile, and special tests, and how to relate findings to biomechanical problems and lesions. Included are hundreds of diagrams, photographs, illustrations, and summary charts. In this second edition, chapters from the first edition have been thoroughly revised and updated and new material has been added on Myofascial Release, Somatics, Post-Facilitation Stretch, Friction Massage, Hypo- and Hyperpronation of the Foot, Strain and Counter Strain, Gait, the Extremities, and the Spine.

Hamstring and Quadriceps Injuries in Athletes

Askling et al. prospectively evaluated 18 elite sprinters with clinically diagnosed
hamstring injuries and serial MRI evaluations at 10, 21, and 42 days after injury [
2]. Those authors found that proximal hamstring injuries demonstrated most ...

Hamstring and Quadriceps Injuries in Athletes

Author: Christopher C. Kaeding

Publisher: Springer

ISBN: 1489975101

Page: 151

View: 364

Injuries to the hamstring and quadriceps muscles can occur in both low- and high-impact sports and as such are among the more common injuries incurred by athletes. Reviewing the relevant physiology, epidemiology, mechanisms, clinical presentation and treatment of these conditions, Hamstring and Quadriceps Injuries in Athletes covers all sports-related injuries of the thigh musculature in one place. Topics covered include mid substance injuries, acute proximal tendon avulsions and harvesting of hamstrings, as well as strains, contusions and ruptures of the quadriceps, including the use of biologic enhancing agents in healing. Chapters on rehabilitation and injury prevention present techniques to maximize recovery and minimize long-term impairment, speeding up return to play. It will be an often-used and reliable guide for sports medicine practitioners, orthopedists, physical therapists, primary care physicians, team physicians and trainers who treat the injured athlete.

Sports Medicine

SUGGESTED READING Proximal Hamstring Avulsion Proximal hamstring
avulsions are relatively uncommon when compared with the more common
midsubstance musculotendinous hamstring tears that are seen in the
orthopaedic ...

Sports Medicine

Author: Anthony A. Schepsis

Publisher: Lippincott Williams & Wilkins

ISBN: 9780781756532

Page: 511

View: 365

Written by surgeons who are noted teachers, this volume of our Orthopaedic Surgery Essentials Series presents all the information residents need during sports medicine rotations. It can easily be read cover to cover during a rotation or used for quick reference before a patient workup or operation. The user-friendly, visually stimulating format features ample illustrations, algorithms, bulleted lists, charts, and tables. The book begins with physical examination, non-surgical topics, and principles of arthroscopic surgery and proceeds to specific sports injuries at each anatomic site. Coverage of each injury includes surgical anatomy, diagnosis, imaging, indications for surgery, techniques, and complications.

Hip and Pelvis Injuries in Sports Medicine

They also reported that players with recurrent hamstring strains in the same
season had a longer rehabilitation period after the ... CLINICAL EVALUATION
Clinical Examination Avulsion injuries of the proximal hamstring origin are much
less ...

Hip and Pelvis Injuries in Sports Medicine

Author: Carlos A. Guanche

Publisher: Lippincott Williams & Wilkins

ISBN: 0781777712

Page: 258

View: 312

Authored by the foremost experts in the field, this comprehensive clinical reference covers the diagnosis and treatment of hip and pelvis injuries seen in sports medicine practices. Hip and Pelvis Injuries in Sports Medicine details the physical examination and radiology of the hip and pelvis and describes techniques for treating all the important problems encountered in athletes. Of special note is the thorough coverage of problems that occur before a hip replacement is needed. The book provides detailed information on hip intra-articular disease along with all of the bony and soft tissue injuries around the hip joint. Other conditions covered include stress fractures, adductor injuries, sports hernias, and hamstring injuries. Treatment methods described include both arthroscopic and open procedures. The book is profusely illustrated and includes color throughout.

Return to Pre Injury Level of Sport in an Elite Age Group Triathlete After Non Operative Treatment of Combined Complete Obturator Internus and Partial Hamstring Tendon Tears

Abstract : Introduction: Proximal hamstring tendon tears are uncommon injuries. Currently there is no consensus on what constitutes optimum management but the literature demonstrates a recent trend towards surgical management.

Return to Pre Injury Level of Sport in an Elite Age Group Triathlete After Non Operative Treatment of Combined Complete Obturator Internus and Partial Hamstring Tendon Tears





View: 648

Abstract : Introduction: Proximal hamstring tendon tears are uncommon injuries. Currently there is no consensus on what constitutes optimum management but the literature demonstrates a recent trend towards surgical management. Several authors have demonstrated less long-term disability and better return to sporting activity with surgical treatment when compared to non-operative treatment. However, these reports have focused on complete tears and there is a dearth of evidence to guide management of partial tears particularly in the high performance athlete. Complete tear of the obturator internus tendon has rarely been described in the literature and has not been reported in combination with proximal hamstring tendon pathology. Case description: A 58-year-old female elite age-group triathlete presented with an acute on chronic exacerbation of increasing right buttock pain that had reduced her mobility such that she was unable to continue sports participation or walk unaided. Examination revealed ischial tuberosity tenderness, reduced hamstring strength and pain on hip extension. Magnetic resonance imaging revealed a 25% partial thickness tear of the conjoined hamstring tendon and complete tear of the obturator internus. In the absence of a history of trauma and no underlying osseous abnormality, the aetiology of the injury was presumed to be related to overuse and her high training load. Results and conclusions: Surgical management was considered due to the considerable disability and duration of symptoms. However, repair of the partial tear would require conversion to a full tear to repair the deep fibres and surgical management of obturator internus rupture has not previously been described. Ultrasound guided steroid injection to the ischial tuberosity and physiotherapy was performed as lower risk initial options. The patient experienced immediate relief of symptoms, and this improvement is maintained at latest follow-up (12 months). There was no significant difference between the pre-injury and latest SF36 and proximal hamstring questionnaire scores and she has returned to the pre-injury level of long distance cycling but has been unable to return to running Take-home message: This case report describes an injury pattern not previously described (complete rupture of obturator internus and partial tear of hamstring tendons). This case report is therefore important in demonstrating that this injury pattern can allow return to non-impact pre-injury level of sport when treated non-operatively. The case report also has broader applicability to isolated partial hamstring tendon ruptures, which occur more frequently, but have a limited evidence base to guide management. This report highlights that despite an increasing trend towards surgical management of hamstring tendon tears, patients with partial tears treated with injection and physiotherapy have the potential to return to athletic performance.

Hip Preservation Surgery

Hamstring operations are often demanding procedures and should be done by
surgeons specialized for these injuries. ... 26.6 Conclusion In competitive athlete,
open surgical treatment for proximal hamstring tears gives good outcome [19, 20]

Hip Preservation Surgery

Author: Nicolas Bonin

Publisher: Springer Nature

ISBN: 3662611864

Page: 297

View: 967

This book offers practical guidance on all procedures that may be performed within the field of hip preservation surgery, arthroscopy, and endoscopy. European experts share their experiences on everything from basic injections to the most challenging hip procedures, offering step-by-step tutorials and highlighting important tips and tricks. Whereas most books on hip arthroscopy and hip preservation surgery concentrate on pathologies, surgical indications, and the basics of the treatment, here the focus is very much on the individual techniques and recognized variants. These techniques are clearly and precisely described with the aid of a wealth of photo and video illustrations. The coverage encompasses procedures applicable in the widest range of scenarios, including synovial pathologies, labral, chondral, and bony injuries, hip impingement, dysplasia and instability, snapping hips, gluteus medius and minimus tendonitis and tears, other tendinopathies, post-arthroplasty complications, and rehabilitation. The book is published in cooperation with ESSKA and will be an essential aid for orthopaedic surgeons at all levels of experience.

Orthopaedic Rehabilitation of the Athlete

Am J Sports Med 40:2325–2330, 2012. This retrospective review of 15
consecutive patients that underwent surgical repair of complete proximal
hamstrings tears were evaluated with postoperative MRI. The MRI was performed
at a mean of 36 ...

Orthopaedic Rehabilitation of the Athlete

Author: Bruce Reider

Publisher: Elsevier Health Sciences

ISBN: 1455737437

Page: 1680

View: 802

Prevent athletic injuries and promote optimal recovery with the evidence-based guidelines and protocols inside Orthopaedic Rehabilitation of the Athlete! Practical, expert guidance; a templated, user-friendly format make this rehab reference ideal for any practitioner working with athletes! Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Apply targeted, evidence-based strategies for all internationally popular athletic activities, including those enjoyed by older adults. Ensure optimal care from injury prevention through follow up 2 years post injury. Make safe recommendations for non-chemical performance enhancement.

Leg Pain in the Running Athlete An Issue of Clinics in Sports Medicine E Book

However, proximal hamstring ruptures often are associated with distal
semimembranosus strains, and these distal injuries may divert the attention away
from the proximal rupture. Patients with acute hamstring injuries usually will have
pain ...

Leg Pain in the Running Athlete  An Issue of Clinics in Sports Medicine   E Book

Author: Alexander Meininger

Publisher: Elsevier Health Sciences

ISBN: 1455744387

Page: 208

View: 526

This issue of Clinics in Sports Medicine, Guest Edited by Alexander K. Meininger, MD, is devoted to Leg Pain in Athletes. Leg pain is a common manifestation of many ailments for which the athlete is vulnerable. In this issue, authors will discuss the most common causes of leg pain, including tibial stress syndrome, stress fractures, and exertional compartment syndrome. Attention will also be given to the evaluation of the injured runner, risk factors (such as the female athlete triad), and useful imaging adjuncts will be discussed.

Essentials of Physical Medicine and Rehabilitation E Book

Quadriceps Hamstrings FIGURE 68.1 Tight hamstring muscles may lead to an
imbalance between the quadriceps and ... Complete tears and proximal
hamstring avulsion injuries can cause a large hematoma or scar tissue to form
around the ...

Essentials of Physical Medicine and Rehabilitation E Book

Author: Walter R. Frontera

Publisher: Elsevier Health Sciences

ISBN: 0323222722

Page: 992

View: 549

From sore shoulders to spinal cord injuries, Essentials of Physical Medicine and Rehabilitation, 3rd Edition provides you with the knowledge you need to get your patients moving again. This practical and authoritative new edition delivers easy access to the latest advances in the diagnosis and management of musculoskeletal disorders and other common conditions requiring rehabilitation. Each topic is presented in a concise, focused, and well-illustrated format featuring a description of the condition, discussion of symptoms, examination findings, functional limitations, and diagnostic testing. An extensive treatment section covers initial therapies, rehabilitation interventions, procedures, and surgery. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Put concepts into practice. Practical, clinically relevant material facilitates the diagnosis and treatment of musculoskeletal, pain, and chronic disabling conditions. Develop a thorough, clinically relevant understanding of interventions such as physical agents and therapeutic exercise in the prevention, diagnosis, treatment, and rehabilitation of disorders that produce pain, impairment, and disability. Find answers fast thanks to a consistent chapter organization that delivers all the content you need in a logical, practical manner. Get a broader perspective on your field from new chapters on Labral Tears of the Shoulder and Hip, Pubalgia, Chondral Injuries, Central Post-Stroke Pain (Thalamic Pain Syndrome), Chemotherapy-induced Peripheral Neuropathy, Radiation Fibrosis Syndrome, and Neural Tube Defects. Stay current with expanded and updated coverage of diagnosis, management and rehabilitation of Cervical Dystonia, Suprascapular Neuropathy, Epicondylitis, Temporomandibular Joint Pain, Spinal Cord Injury, Stroke, Adhesive Capsulitis of the Hip, and Adductor Strain of the Hip. Glean the latest information on hot topics in the field such as cancer-related fatigue, polytrauma, and traumatic brain injury Efficiently and expertly implement new ICD-10 codes in a busy outpatient setting.

Orthopedic Rehabilitation Clinical Advisor E Book

Hamstring strain is a tissue deformation in response to stress of the biceps
femoris (short or long head), semimembranosus, ... Most tendon injuries occur in
the proximal hamstring tendons, close to their insertion on the ischial tuberosity.

Orthopedic Rehabilitation Clinical Advisor   E Book

Author: Derrick Sueki

Publisher: Elsevier Health Sciences

ISBN: 0323072526

Page: 984

View: 285

Access the information you need to confidently diagnose and treat musculoskeletal disorders at a glance! With a "5-books-in-1" approach, this essential clinical reference provides up-to-date diagnostic and therapeutic information on over 200 orthopedic conditions in a bulleted, quick-reference format ideal for both students and practitioners. Content is written entirely by orthopedic physical therapists and is logically organized to promote accurate, efficient differential diagnosis and intervention. '5-books-in-1' format combines essential content on foundational knowledge, clinical reasoning, orthopedic pathologies, common clinical questions, and pharmacology all in one place for fast, efficient reference. UNIQUE: Expert insight and decision-making strategies for the rehabilitation of musculoskeletal pathologies help you apply sound clinical reasoning to determine the needs of patients with musculoskeletal disorders. UNIQUE: Succinct, bulleted text organizes information consistently for easy access. Clinician-oriented profiles cover 200 orthopedic pathologies with considerations specific to your needs in orthopedic rehabilitation practice. 51 drug class monographs detail indications, dosages, contraindications and physical therapy implications to help you better understand drug interactions and more effectively manage patients.

Issues in Orthopedics and Occupational and Sports Medicine 2011 Edition

Thoracic and head injuries predispose to an aggravated second hit. ... Fresh data
on orthopedics are presented in the report 'Successful return to high level sports
following early surgical repair of complete tears of the proximal hamstring ...

Issues in Orthopedics and Occupational and Sports Medicine  2011 Edition


Publisher: ScholarlyEditions

ISBN: 1464963584

Page: 3196

View: 455

Issues in Orthopedics and Occupational and Sports Medicine: 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Orthopedics and Occupational and Sports Medicine. The editors have built Issues in Orthopedics and Occupational and Sports Medicine: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Orthopedics and Occupational and Sports Medicine in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Orthopedics and Occupational and Sports Medicine: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at

Year Book of Sports Medicine 2012 E Book

Multiple medical databases were searched for Level IeIV evidence. 18 studies
were included. 298 subjects (300 proximal hamstring injuries) were analyzed
with mean age of 39.7 years. 286 injuries were managed with surgical repair vs ...

Year Book of Sports Medicine 2012   E Book

Author: Roy J Shephard

Publisher: Elsevier Health Sciences

ISBN: 032308978X

Page: 400

View: 565

The Year Book of Sports Medicine brings you abstracts of articles carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. Editor-in-Chief Roy Shephard states: ". . . Not only does a team of top international experts select the very best articles from a bewildering plethora of recent information, but their expert critique of the individual papers allows readers to weigh their limitations and understand findings that can enhance their current medical practice." There's no faster or easier way to stay informed! Topics include Epidemiology, Prevention of Injuries, Lesions of Head and Neck; Musculoskeletal Injuries; Biomechanics, Muscle Strength, and Training; Physical Activity, Cardiorespiratory Physiology, and Immune Function; Nutrition and Doping; and Special Considerations: Children, Women, the Elderly, and Special Populations.

The New Rules of Running

High H ing Tendiniti WHATISIT Chronic pain felt at the tendon insertion, or
origination point, of all three hamstring muscles. Also known as proximal
hamstring tendinopathy, this type of hamstring injury is much more common in
long-distance ...

The New Rules of Running

Author: Vijay Vad, M.D.

Publisher: Penguin

ISBN: 1101623659

Page: 272

View: 107

The ultimate guide to injury-free running and racing, from renowned sports medicine specialist Vijay Vad with training schedules designed by coach and 2-time NYC Marathon Champion Tom Fleming Whether you’re learning to run, trying to lower your Personal Record, recovering from injury, or just getting in shape, The New Rules of Running will make you a faster, healthier runner. The only book on running authored by a sports medicine specialist, this informative guide offers: A primer on running’s most common injuries, emphasizing prevention and recovery, to get you through the grueling training months unscathed. Essential strengthening exercises, stretches, nutrition, and hydration tips.

Physical Therapy Case Files Sports

Proximal hamstring avulsion injuries: Injury mechanism, diagnosis and disease
course. Oper Techniq Sports Med. 2009;17:205-209. 3. Porr J, Lucaciu C, Birkett
S. Avulsion fractures of the pelvis - a qualitative systematic review of the literature

Physical Therapy Case Files  Sports

Author: Jason Brumitt

Publisher: McGraw Hill Professional

ISBN: 007182152X

Page: 475

View: 484

Dozens of realistic cases help students make transition from classroom to clinic The Physical Therapy Case Files series gives students realistic cases designed to help them make the transition from classroom to clinical work and is an outstanding review for the specialty topics included on the American Physical Therapy Association certification exams. This evidence-based series can stand alone or is the perfect complement to textbooks for enhanced learning in the context of real patients. Each case includes clinical tips, evidence-based practice recommendations, analysis, and review questions. These cases teach students how to think through evaluation, assessment, and treatment planning. Includes 42 realistic sports medicine cases A great clinical refresher for practitioners looking to brush up on their skills

Operative Techniques Pediatric Orthopaedic Surgery E BOOK

Pitfalls □ • Strains and avulsions with minimal retraction will often heal with
nonoperative management. The majority of strains ... The sciatic nerve passes
near the origin of the proximal hamstrings and can be injured acutely. • These
tension ...

Operative Techniques  Pediatric Orthopaedic Surgery E BOOK

Author: Mininder Kocher

Publisher: Elsevier Health Sciences

ISBN: 1455711357

Page: 816

View: 522

Pediatric Orthopaedic Surgery—a title in the Operative Techniques series—offers you the step-by-step guidance you need—on femoral lengthening, sofield procedure, distal radius fracture, and more—from experts Mininder Kocher and Michael B. Millis. Perform all of the latest and best techniques in this specialty thanks to a large full-color intraoperative photos, diagrammable illustrations, and a dedicated website. Access the fully searchable text online at, along with surgical videos and reference links. Refine the quality of your technique and learn the expert’s approach to getting the best results thanks to pearls and pitfalls and an emphasis on optimizing outcomes. Master every procedure with step-by-step instructions on positioning, exposures, instrumentation, and implants. Provide comprehensive care for your patients through discussions of post-operative care and expected outcomes, including potential complications and brief notes on controversies and supporting evidence. See every detail with clarity using color photos and illustrations that highlight key anatomies and diagrams that present cases as they appear in real life.

Myofascial Pain and Dysfunction

Hamstring. Muscles. Biceps. Femoris,. Semitendinosus,. and. Semimembranosus
. "Chair-seat Victims" Figure 16.2. ... The proximal ANATOMICAL
ATTACHMENTS of the three true hamstring muscles (semitendinosus,
semimembranosus, and long ... Hamstring myofascial pain must also be
distinguished from forms of sciatica, osteoarthritis of the knee, hamstring
syndrome attributed to muscle tears, and ...

Myofascial Pain and Dysfunction

Author: Janet G. Travell

Publisher: Lippincott Williams & Wilkins

ISBN: 0683083678

Page: 626

View: 316 a thorough understanding of what myofascial pain actually is, and provides a unique and effective approach to the diagnosis and treatment of this syndrome for the lower body muscles.

Clinical Symposia

and proximal hamstring injury ) ; and lumbar or lumbosacral spine involvement (
herniated disc ) . ... In runners , several factors can cause lateral hip pain , which
is often due to strain of the distal attachments of the abductors ( particularly at the

Clinical Symposia





View: 647

Sports Medicine An Issue of Physical Medicine and Rehabilitation Clinics of North America

With regard to hip disorders, PRP has been proposed in the treatment of chronic
ligamentous injury, chronic tendinopathy, and muscle tears, especially in the
proximal hamstring, gluteal, and adductor muscles.79 Although regenerative ...

Sports Medicine  An Issue of Physical Medicine and Rehabilitation Clinics of North America

Author: Brian Krabak

Publisher: Elsevier Health Sciences

ISBN: 0323323863

Page: 257

View: 823

This issue is a comprehensive, multi-disciplinary state-of-the-art review focusing on the athlete as a whole. The articles explore the impact of excessive activity, new therapies and performance enhancement interventions on the musculoskeletal, neurological and psychological aspects of the athlete.

Practical Musculoskeletal Ultrasound E Book

The hamstring tendons can be injured due to acute tear or chronic repetitive
microtrauma. ... lengthening at the ischial tuberosity insertion, leading to tendon
avulsion or hamstring injury distally at the proximal musculotendinous junction.

Practical Musculoskeletal Ultrasound E Book

Author: Eugene McNally

Publisher: Elsevier Health Sciences

ISBN: 1455774049

Page: 512

View: 408

Apply all of the latest knowledge in MSK ultrasound with expanded coverage of the shoulder, elbow, wrist, hand, hip, knee, foot, and ankle, as well as interventional radiology techniques. Make the most definite interpretations and diagnoses with help from hundreds of new line drawings and scans. Reference differential diagnosis tables to quickly deduce the most likely clinical problem being assessed.