Proximal Hamstring Pearls and Pitfalls: Everything from Arthroscopic Repair to Open Reconstruction (AANA19)-Questions and Answers_ Proximal Hamstring Pearls and Pitfalls-Dr. Thomas Youm, M.D.

Questions and Answers_ Proximal Hamstring Pearls and Pitfalls-Dr. Thomas Youm, M.D.

Video Transcription

Video Summary

The discussion focuses on surgical techniques for hamstring repair, emphasizing knot placement to minimize pain and using double-row constructs with suture tape for flatter knots. The speaker prefers corkscrew anchors over smaller press-fit ones due to better bone grip, especially in older patients with osteopenia. Attention is given to avoiding pudendal nerve injury during surgery, noting a case of neuropraxia causing testicular discomfort. Recommendations include careful retractor placement and possibly using Steinman pins for safer retraction. Concerns about anchor fixation in cortical versus cancellous bone and the potential for nerve injuries during sciatic nerve decompression are also highlighted.

Asset Caption

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

Keywords

hamstring repair

knot placement

corkscrew anchors

pudendal nerve injury

sciatic nerve decompression