Proximal Hamstring Pearls and Pitfalls: Everything from Arthroscopic Repair to Open Reconstruction (AANA19)-Proximal Hamstring Injuries_ Non Operative And Open Surgical Treatment-Dr. Michael Pickell, M.D.

Proximal Hamstring Injuries_ Non Operative And Open Surgical Treatment-Dr. Michael Pickell, M.D.

Video Transcription

Video Summary

Mike Pical from the University of Ottawa discusses management of proximal hamstring ruptures, focusing on non-operative versus open surgical treatment. Treatment decisions depend on patient factors like age, activity level, comorbidities, and tear characteristics, especially tendon involvement and retraction. Surgery is typically indicated for tears involving two or more tendons or retraction over 2 cm. Non-operative care involves pain-guided progressive rehab and early stretching, with reasonable outcomes especially for single tendon tears. Open surgery involves a transverse incision, neurolysis of the sciatic nerve, and tendon reattachment with suture anchors. Operative treatment generally yields better strength, satisfaction, and function when appropriately indicated.

Asset Caption

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

Keywords

proximal hamstring rupture

non-operative treatment

open surgical treatment

tendon reattachment

rehabilitation