O'Laughlin Shaun J, Flynn Timothy W, Westrick Richard B, Ross Michael D
Rocky Mountain University of Health Professions, Provo, UT, USA.
United States Military - Baylor University Sports Physical Therapy Doctoral Program, West Point, NY, USA.
Int J Sports Phys Ther. 2014 May;9(3):371-6.
Hamstring injuries are frequent injuries in athletes, with the most common being strains at the musculotendinous junction or within the muscle belly. Conversely, hamstring avulsions are rare and often misdiagnosed leading to delay in appropriate surgical interventions. The purpose of this case report is to describe the history and physical examination findings that led to appropriate diagnostic imaging and the subsequent diagnosis and expedited surgical intervention of a complete avulsion of the hamstring muscle group from the ischium in a military combatives athlete.
The patient was a 25 year-old male who sustained a hyperflexion injury to his right hip with knee extension while participating in military combatives, presenting with acute posterior thigh and buttock pain. History and physical examination findings from a physical therapy evaluation prompted an urgent magnetic resonance imaging (MRI) study, which led to the diagnosis of a complete avulsion of the hamstring muscle group off the ischium.
Expedited surgical intervention occurred within 13 days of the injury potentially limiting comorbidities associated with delayed diagnosis.
Recognition of the avulsion led to prompt surgical evaluation and intervention. Literature has shown that diagnosis of hamstring avulsions are frequently missed or delayed, which results in a myriad of complications.
Level 4.
腘绳肌损伤在运动员中较为常见，最常见的是肌腱肌肉结合处或肌腹拉伤。相反，腘绳肌撕脱伤很少见，且常被误诊，导致适当手术干预延迟。本病例报告的目的是描述一名军事格斗运动员腘绳肌群从坐骨完全撕脱伤的病史和体格检查结果，这些结果促成了适当的诊断性影像学检查以及随后的诊断和快速手术干预。
患者为一名25岁男性，在参加军事格斗时右髋过度屈曲且膝关节伸展，导致受伤，出现急性大腿后部和臀部疼痛。物理治疗评估的病史和体格检查结果促使进行紧急磁共振成像（MRI）检查，结果诊断为腘绳肌群从坐骨完全撕脱伤。
在受伤后13天内进行了快速手术干预，可能减少了与诊断延迟相关的并发症。
对撕脱伤的认识促成了及时的手术评估和干预。文献表明，腘绳肌撕脱伤的诊断经常被漏诊或延迟，从而导致多种并发症。
4级。
