Proximal Hamstring Pearls and Pitfalls: Everything from Arthroscopic Repair to Open Reconstruction (AANA19)-Case Presentations_ Proximal Hamstring Pearls and Pitfalls-Dr. Stephen A. Hunt, M.D.

Case Presentations_ Proximal Hamstring Pearls and Pitfalls-Dr. Stephen A. Hunt, M.D.

Video Transcription

Video Summary

A 45-year-old female with a complete three-tendon hamstring avulsion was treated initially endoscopically, then open repair due to tendon retraction. An 18-year-old athlete with a high-grade partial tear underwent surgery after biologic treatments like PRP were debated but deemed uncertain in efficacy. In one case, sciatic nerve scarring caused symptoms, resolved by nerve release. A 58-year-old male with a complete avulsion and 2 cm retraction chose non-operative management, showing tendon healing on MRI at one year, though with some discomfort on running. Overall, surgery is preferred early for significant tears, but some retraction cases may heal non-surgically.

Asset Caption

Instructional Course Lecture: Proximal Hamstring Pearls and Pitfalls: Everything from Arthroscopic Repair to Open Reconstruction

Keywords

hamstring avulsion

endoscopic repair

open tendon repair

PRP treatment

non-operative management