Startzman Ashley N, Fowler Oliver, Carreira Dominic
Orthopedics. 2017 Jul 1;40(4):e574-e582. doi: 10.3928/01477447-20170208-05. Epub 2017 Feb 14.
Proximal hamstring tendinosis and partial hamstring origin ruptures are painful conditions of the proximal thigh and hip that may occur in the acute, chronic, or acute on chronic setting. Few publications exist related to their diagnosis and management. This systematic review discusses the incidence, treatment, and prognosis of proximal hamstring tendinosis and partial hamstring ruptures. Conservative treatment measures include nonsteroidal anti-inflammatory drugs, physical therapy, rest, and ice. If these measures fail, platelet-rich plasma or shockwave therapy may be considered. When refractory to conservative management, these injuries may be treated with surgical debridement and hamstring reattachment. [Orthopedics. 2017; 40(4):e574-e582.].
腘绳肌近端肌腱病和腘绳肌起点部分断裂是大腿近端和髋部的疼痛病症,可发生于急性、慢性或慢性基础上的急性发作情况。关于其诊断和治疗的出版物很少。本系统综述讨论了腘绳肌近端肌腱病和腘绳肌部分断裂的发病率、治疗和预后。保守治疗措施包括非甾体类抗炎药、物理治疗、休息和冰敷。如果这些措施无效,可考虑富血小板血浆或冲击波治疗。当保守治疗无效时,这些损伤可通过手术清创和腘绳肌重新附着来治疗。[《骨科》。2017年;40(4):e574 - e582。]