Leiden University Medical Center, Leiden, The Netherlands.
Arch Orthop Trauma Surg. 2010 Apr;130(4):523-6. doi: 10.1007/s00402-009-0950-5. Epub 2009 Aug 18.
Two men visited our Emergency Room because of a water-ski-accident. At physical examination, there was hematoma at the upper leg with loss of strength at extension of the hip and flexion of the knee. Both patients had a palpable gap just distal of the ischial tuberosity. Further imaging by sonography and MR-scan showed a rupture of the proximal hamstring tendon. Treatment was operative refixation of the hamstring tendons at the ischial tuberosity. After treatment consisted of brace for 4 weeks after operation. Both patients returned to their pre-operatively sports, though at a lower level. Surgical treatment of a complete proximal rupture of the hamstrings is recommended in case of sportive patients.
两名男子因滑水事故到我院急诊就诊。体格检查发现大腿上部有血肿，髋关节伸展和膝关节屈曲无力。两名患者坐骨结节远端均可触及明显间隙。超声和磁共振成像进一步显示，近端腘绳肌腱断裂。治疗方法是在坐骨结节处将腘绳肌腱重新固定。术后 4 周内使用支具固定。两名患者均恢复到术前运动水平，但运动级别降低。建议对运动患者行完全性近端腘绳肌腱断裂的手术治疗。
