Moatshe Gilbert, Chahla Jorge, Vap Alexander R, Ferrari Marcio, Sanchez George, Mitchell Justin J, LaPrade Robert F
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Department of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
Arthrosc Tech. 2017 Mar 13;6(2):e311-e317. doi: 10.1016/j.eats.2016.10.004. eCollection 2017 Apr.
Proximal hamstring tears are among the most common sports-related injuries. These injuries often occur as strains or partial tears at the proximal muscle belly or the musculotendinous junction, with avulsion injuries of the proximal attachment occurring less frequently. Regardless of the mechanism, they produce functional impairment and negatively affect an athlete's performance. Various classifications for these injuries are reported in the literature. Early surgical treatment is recommended for patients with either a 2-tendon tear/avulsion with more than 2 cm retraction or those with complete 3-tendon tears. Surgery can be performed in the chronic phase but it is technically demanding because of scar formation and tendon retraction. This Technical Note describes a biomechanically validated surgical technique for repair of the proximal hamstring tears.
近端腘绳肌撕裂是最常见的运动相关损伤之一。这些损伤常表现为近端肌腹或肌腱结合处的拉伤或部分撕裂，近端附着点的撕脱伤较少见。无论损伤机制如何，都会导致功能障碍并对运动员的表现产生负面影响。文献中报道了这些损伤的各种分类。对于伴有超过2厘米回缩的双肌腱撕裂/撕脱或完全三肌腱撕裂的患者，建议早期手术治疗。手术可在慢性期进行，但由于瘢痕形成和肌腱回缩，技术要求较高。本技术说明描述了一种经生物力学验证的修复近端腘绳肌撕裂的手术技术。
