Costa Lincoln Paiva, Barros Antônio Augusto Guimarães, Vassalo Carlos Cesar, Sonnery-Cottet Bertrand, Barbosa Victor Atsushi Kasuya, Temponi Eduardo Frois
Department of Orthopaedics, Hospital Madre Teresa, Belo Horizonte, Minas Gerais, Brazil.
Department of Orthopaedics, Hospital Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, FIFA Medical Center of Excellence, Lyon, France.
J Orthop Case Rep. 2016 Nov-Dec;6(5):69-72. doi: 10.13107/jocr.2250-0685.638.
Proximal hamstring tendinopathy (PHT) is the result of chronic overload caused by repetitive eccentric contraction. Surgical treatment becomes an option for patients with chronic symptoms that do not respond to conservative treatment.
This report describes a case of a 48-year-old man, an amateur triathlete, with deep gluteal pain in the left hip for 12 months, leading to a decline in sports performance. Magnetic resonance imaging revealed abnormalities that suggested a PHT. Surgery was indicated following the failure of conservative treatments. Debridement of the conjoint tendon and its reinsertion associated with semimembranosus tenotomy showed good results and is thus an option for the treatment of this pathology after 12 months of follow-up.
This article provides surgeons with a new surgical option for this debilitating condition with clinical and functional improvement after 12 months of follow-up.
近端腘绳肌腱病（PHT）是由重复性离心收缩引起的慢性过载的结果。对于慢性症状且对保守治疗无反应的患者，手术治疗成为一种选择。
本报告描述了一名48岁男性，业余铁人三项运动员，左髋部深部臀肌疼痛12个月，导致运动成绩下降。磁共振成像显示异常，提示为PHT。保守治疗失败后进行了手术。联合肌腱清创及其与半膜肌肌腱切断术相关的重新附着显示出良好效果，因此在随访12个月后是治疗这种疾病的一种选择。
本文为外科医生提供了一种针对这种使人衰弱疾病的新手术选择，随访12个月后临床和功能均有改善。
