Clinica Ortopedica e Traumatologica, IRCCS Policlinico San Matteo, Viale Golgi 70, 27100 Pavia, Italy.
J Orthop Traumatol. 2013 Jun;14(2):83-9. doi: 10.1007/s10195-013-0226-2. Epub 2013 Feb 9.
Proximal hamstring tendinopathy typically afflicts athletes. The poor knowledge of this pathology can lead to late diagnosis and late treatment, which in chronic cases could be challenging. Surgical treatment could resolve the symptoms and could permit the return to full sport activity also in chronic cases.
We retrospectively evaluated 17 high-level athletes surgically treated for proximal hamstring tendinopathy. Symptoms lasted for an average of 23 months and were resistive to conservative treatment.
The follow-up period averaged 71 months. Return to run without pain occurred at a mean of 2.4 months (range 1-4) after surgery. All patients returned to sports at their pre-symptom level at a mean of 4.4 months after surgery. Results were excellent in 15 patients (88 %) and good in two patients (12 %). No results were fair or poor.
Surgical treatment to manage chronic proximal hamstring tendinopathy in high-level athletes showed excellent results in terms of relief from symptoms and return to previous sport level.
近端腘绳肌腱病通常影响运动员。对这种病理的了解不足可能导致诊断和治疗延迟，在慢性情况下可能具有挑战性。手术治疗可以缓解症状，并允许在慢性情况下也能恢复到完全运动活动。
我们回顾性评估了 17 名接受近端腘绳肌腱病手术治疗的高水平运动员。症状平均持续 23 个月，且对保守治疗有抗性。
随访期平均为 71 个月。手术后平均 2.4 个月（范围 1-4）即可无痛跑步。所有患者在手术后平均 4.4 个月恢复到术前的运动水平。15 名患者（88%）的结果为优秀，2 名患者（12%）的结果为良好。没有结果为一般或差。
对于高水平运动员的慢性近端腘绳肌腱病，手术治疗在缓解症状和恢复到之前的运动水平方面取得了极好的效果。
