Nonoperative Treatment of Single-Tendon Proximal Hamstring Avulsions in Recreational Athletes

The purpose of this study was to evaluate the patient-reported and objective functional outcomes of those patients who underwent nonoperative management of a single-tendon retracted proximal hamstring avulsion. A retrospective case series of consecutive patients with an MRI-confirmed diagnosis of single-tendon proximal hamstring avulsion treated nonoperatively with at least one-year of follow-up was performed. Patient-reported outcome measures (PROMs) including SF-12v2, Lower Extremity Functional Score (LEFS), Hip Outcome Score-activities of daily living and sport subscale (HOS-ADL, HOS-SS) were prospectively collected. Objective measurements included strength testing of the affected and unaffected limbs with a handheld dynamometer and single-leg hop test. Student t-tests were used to determine differences between limbs. Eleven of fourteen patients were available for PROMs (79%); five completed functional testing. Subjective scores revealed a mean SF-12v2 mental component score of 56.53 ± 8.2, physical component score of 50.1 ± 12.7. LEFS was 84% ± 19.8, HOS-ADL 87.9% ± 17.2, and HOS-SS 80.9% ± 24. The differences between limbs were not statistically significant for strength at 45 or 90 degrees of knee flexion, nor for single-leg hop distance. Patients in a non-professional athlete population who undergo nonoperative management of single-tendon retracted proximal hamstring avulsions can expect good subjective and objective outcomes.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Nonoperative Treatment of Single-Tendon Proximal Hamstring Avulsions in Recreational Athletes ; day:08 ; month:12 ; year:2022 ; Sports medicine international open ; (08.12.2022)

Contributors, Places and Time

• Contributor: Bono, Olivia J. ; Forlizzi, Julianne ; Shah, Sarav S. ; Nacca, Christopher R. ; Manz, Eric ; Ives, Katharine ; Miller, Suzanne L.

Further information

• DOI: 10.1055/a-1991-3719
• URN: urn:nbn:de:101:1-2023012610383062853021
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:27 AM CEST