Cohen Steven, Bradley James
Department of Orthopaedic Surgery, Rothman Institute Orthopaedics, Thomas Jefferson University Medical School, Philadelphia, PA 19107-4216, USA.
J Am Acad Orthop Surg. 2007 Jun;15(6):350-5. doi: 10.5435/00124635-200706000-00004.
Hamstring strain is common in athletes, and both diagnosis and surgical treatment of this injury are becoming more common. Nonsurgical treatment of complete ruptures has resulted in complications such as muscle weakness and sciatic neuralgia. Surgical treatment recently has been advocated to repair the complete rupture of the hamstring tendons from the ischial tuberosity. Surgical repair involves a transverse incision in the gluteal crease, protection of the sciatic nerve, mobilization of the ruptured tendons, and repair to the ischial tuberosity with the use of suture anchors. Reports in the literature of surgical treatment of proximal hamstring rupture are few, and most series have had a relatively small number of patients. Surgical repair results project 58% to 85% rate of return to function and sports activity, near normal strength, and decreased pain.
腘绳肌拉伤在运动员中很常见，这种损伤的诊断和手术治疗也越来越普遍。对完全断裂进行非手术治疗已导致诸如肌肉无力和坐骨神经痛等并发症。最近有人主张采用手术治疗来修复从坐骨结节处完全断裂的腘绳肌腱。手术修复包括在臀沟处做横向切口、保护坐骨神经、游离断裂的肌腱，并使用缝合锚钉将其修复至坐骨结节。关于近端腘绳肌断裂手术治疗的文献报道很少，大多数系列研究的患者数量相对较少。手术修复的结果显示恢复功能和体育活动的比率为58%至85%，力量接近正常，疼痛减轻。
