Proximal Hamstring Pearls and Pitfalls: Everything from Arthroscopic Repair to Open Reconstruction (AANA19)-Proximal Hamstring Injuries_ Why and When…-Dr. Guillem Gonzalez-Lomas, M.D.

Proximal Hamstring Injuries_ Why and When…-Dr. Guillem Gonzalez-Lomas, M.D.

Video Transcription

Video Summary

The talk covers proximal hamstring tendon tears, common in explosive sports involving eccentric contraction. The anatomy involves three muscles attaching at the ischial tuberosity, often tearing together. Risk factors include strength imbalances, fatigue, and prior injury. Presentation varies from acute pain with bruising to chronic aching. Diagnosis relies on physical exam and MRI, noting a 15% false positive rate on imaging. Prevention through functional training is key. Non-operative treatment suits partial tears; surgery is recommended for complete avulsions, ideally early. Surgical care requires careful dissection near nerves. Overall, emphasis is on prevention, early diagnosis, and detailed anatomical knowledge.

Asset Caption

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

Keywords

proximal hamstring tendon tears

eccentric contraction injuries

ischial tuberosity anatomy

MRI diagnosis false positives

functional training prevention