Department of Orthopaedics, University College Hospital, London, UK.
Int Orthop. 2010 Feb;34(1):119-23. doi: 10.1007/s00264-009-0739-8. Epub 2009 Feb 28.
The purpose of this study was to investigate the outcome of surgical management of acute complete proximal hamstring tendon tears. This was a prospective review of a case series from a tertiary referral centre. Ten patients presenting with complete proximal hamstring tendon tears were confirmed on MRI. All patients underwent surgical exploration and repair of the torn tendons with the aim of returning to normal activities and sports. Isokinetic muscle testing was performed using a dynamometer. The Cybex dynamometer (Cybex International, Ronkonkowa, NY) testing revealed almost comparable readings for the operated versus the non-operated side. An average peak torque of the operated hamstring muscles of 82.78% (range 47.16-117.88%), compared to the contralateral leg, was noted at six months. An excellent outcome was found in terms of return to normal activities and sports. Early surgical repair and physiotherapy has been noted to be associated with a good outcome and enables an early return to high level sports after complete tear of the proximal hamstring tendons.
本研究旨在探讨急性完全性近端腘绳肌腱撕裂的手术治疗效果。这是对一个三级转诊中心的病例系列前瞻性回顾。10 名 MRI 证实存在完全性近端腘绳肌腱撕裂的患者接受了手术探查和撕裂肌腱修复，以期恢复正常活动和运动。使用测力计进行等速肌肉测试。Cybex 测力计（Cybex International，Ronkonkowa，NY）测试显示，在术后 6 个月，患侧与非患侧的测试结果几乎相同。患侧腘绳肌的平均峰值扭矩为 82.78%（范围 47.16-117.88%），与对侧腿部相比。在正常活动和运动方面，结果非常好。早期手术修复和物理治疗与良好的结果相关，并能在完全撕裂近端腘绳肌腱后尽早恢复高水平的运动。
