[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.
Brucker
P U
PU
Abteilung und Poliklinik für Sportorthopädie der Technischen Universität München, München. peter_brucker@freenet.de
Imhoff
A B
AB
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