AOSSM/AANA Specialty Day 2020-Endoscopic vs. Open Hamstring Repair_ My Treatment Algorithm for Partial and Full Thickness Tears

Endoscopic vs. Open Hamstring Repair_ My Treatment Algorithm for Partial and Full Thickness Tears

Video Transcription

Video Summary

Dr. [Speaker] discusses treatment algorithms for partial and full-thickness proximal hamstring tendon tears, emphasizing a spectrum from tendinopathies to retracted full-thickness tears. Initial management of tendinopathies involves a biopsychosocial, non-operative approach focusing on gluteal activation and load reduction. Surgery is considered for acute full-thickness tears, especially with >2 cm retraction or symptomatic chronic tears. He contrasts endoscopic versus open repair: endoscopic is preferred for minimally retracted tears near the ischium with better visualization, less muscle and nerve injury, and lower infection risk, while open repair suits chronic, retracted tears. Outcomes from 30 patients indicate good function and low complication rates with endoscopic repair.

Keywords

proximal hamstring tendon tears

tendinopathy management

endoscopic repair

open repair

treatment outcomes