Degen Ryan M
Fowler Kennedy Sport Medicine Clinic, 3M Centre, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada.
Curr Rev Musculoskelet Med. 2019 Jun;12(2):138-146. doi: 10.1007/s12178-019-09541-x.
To outline the typical presentation, physical examination, diagnostic imaging, and therapeutic treatment options for proximal hamstring injuries to improve awareness, expedient diagnosis, and definitive management.
Proximal hamstring tendinopathy and partial-thickness tears can often successfully be managed with a combination of non-operative modalities, including physiotherapy focused on eccentric strengthening, extracorporeal shock wave therapy, or peri-tendinous injections. Surgery is reserved for refractory cases, but can yield good outcomes. Contrastingly, non-operative treatment often leads to unsatisfactory outcomes in complete ruptures, with residual weakness and reduced function with poor return-to-sport rates. Instead, surgical repair can provide satisfactory outcomes, with good-to-excellent functional outcomes and strength, with acute treatment preferred over delayed, chronic repair. Hamstring tendinopathy and partial-thickness tears can be successfully treated non-operatively with good functional outcomes, with surgical repair reserved for refractory cases. Complete tears are best managed with surgical repair, allowing improved strength and functional outcomes.
概述股后肌腱近端损伤的典型表现、体格检查、诊断性影像学检查及治疗选择，以提高对其的认识、实现快速诊断及进行确切治疗。
股后肌腱近端肌腱病和部分厚度撕裂通常可通过非手术方法联合治疗成功处理，包括专注于离心强化的物理治疗、体外冲击波疗法或肌腱周围注射。手术适用于难治性病例，但可取得良好效果。相比之下，非手术治疗在完全断裂时往往导致不满意的结果，残留无力和功能减退，恢复运动率低。相反，手术修复可提供满意的结果，功能和力量良好至优秀，急性治疗优于延迟的慢性修复。股后肌腱病和部分厚度撕裂可通过非手术成功治疗，功能结果良好，手术修复适用于难治性病例。完全撕裂最好通过手术修复处理，可改善力量和功能结果。
