Tufts University School of Medicine, Boston, Massachusetts, USA.
Tufts University School of Medicine, Boston, Massachusetts, USA. ; Department of Radiology, New England Baptist Hospital, Roxbury Crossing, Massachusetts, USA.
Orthop J Sports Med. 2014 Mar 17;2(3):2325967114526135. doi: 10.1177/2325967114526135. eCollection 2014 Mar.
Proximal hamstring tendinopathy is an uncommon but debilitating cause of posterior thigh pain in athletes subjected to repetitive eccentric hamstring contraction, such as runners. Minimal data exist evaluating treatment options for proximal hamstring tendinopathy.
This retrospective study evaluates the effectiveness of fluoroscopically guided corticosteroid injections in treating proximal hamstring tendinopathy.
Case series; Level of evidence, 4.
Eighteen athletes with 22 cases of magnetic resonance imaging-confirmed proximal hamstring tendinopathy were treated with corticosteroid injection and later contacted to evaluate the efficacy of the injection with the use of a questionnaire.
The visual analog score decreased from 7.22 preinjection to 3.94 postinjection (P < .001), level of athletic participation increased from 28.76% to 68.82% (P < .001) at a mean follow-up of 21 months, and 38.8% of patients experienced complete resolution at a mean follow-up of 24.8 months. The mean lower extremity function score at the time of follow-up was 60.
A trial of fluoroscopically guided corticosteroid injection is warranted in patients presenting with symptoms of proximal hamstring tendinopathy refractory to conservative therapy.
在反复进行离心性腘绳肌收缩的运动员中，如跑步运动员，近端腘绳肌腱病是一种少见但使人虚弱的后侧大腿疼痛的原因。对于近端腘绳肌腱病的治疗选择，目前仅有少量数据进行评估。
本回顾性研究评估了在治疗近端腘绳肌腱病中，荧光引导下皮质类固醇注射的有效性。
病例系列；证据等级，4 级。
18 名运动员共 22 例经 MRI 证实的近端腘绳肌腱病患者接受了皮质类固醇注射治疗，之后通过问卷调查评估注射的疗效。
视觉模拟评分从注射前的 7.22 分降至注射后的 3.94 分（P <.001），运动参与水平从 28.76%提高至 68.82%（P <.001），平均随访时间为 21 个月，38.8%的患者在平均随访 24.8 个月时完全缓解。随访时下肢功能评分的平均值为 60。
对于保守治疗无效的近端腘绳肌腱病患者，应尝试进行荧光引导下皮质类固醇注射。
