[Refixation of complete tendon ruptures of proximal ischio-crural muscles].
Complete ruptures of the proximal hamstring muscles at the ischial tuberosity are rare injuries in sports. The trigger is usually an indirect trauma with overstretching of the ischiocrural muscles. In 8 patients, the ruptured tendons were anatomically refixed using a suture anchor system. 6 patients were treated within 3 weeks after trauma, while 2 patients were operated after delayed diagnosis of more than 2 months. The follow-up was on average 25.8 (5-52) months. After rehabilitation, five patients returned to their preinjury sports level within 9-15 months on average. Indeed, 2 patients (1 primary and 1 delayed operative management) also participated in sports activities in this period of time, but could not reach their preinjury sports level completely. 1 elite athlete was still in the rehabilitation program at 5 months of individual follow-up. A postoperative complication was 1 revision because of a suture anchor dislocation after improper use of the orthosis. In four patients, incisional pain and discomfort lasting up to 2 years were noticed. In case of early diagnosis, operative treatment especially in athletically ambitious patients is the gold standard for complete ruptures of the proximal hamstring tendons. The use of a suture anchor system represents an elegant and effective technique for the treatment of ruptures of the proximal hamstring tendon complex.
Abteilung und Poliklinik für Sportorthopädie der Technischen Universität München, München. peter_brucker@freenet.de
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D000328:Adult; D001265:Athletic Injuries / Q000601:surgery*; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000293:injuries* / Q000601:surgery; D011093:Polyethylene Terephthalates; D011182:Postoperative Care; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D012421:Rupture; D013537:Sutures; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*
C014534:Ethibond; D011093:Polyethylene Terephthalates