Editorial Commentary: Endoscopic Proximal Hamstring Repair Is Safe and Effective for Refractory Tendinosis and Partial Tears: "Pain in the Butt" Has an Endoscopic Solution!

While surgical treatment of acute proximal hamstring ruptures is well understood to be the best treatment option for many patients, treatment of chronic proximal hamstring pathology has lagged, with most management consisting of conservative options: rest, ice, physical therapy, nonsteroidal anti-inflammatory drugs, shock-wave therapy, and injections such as corticosteroids and platelet-rich plasma. However, recent research shows that endoscopic repair of chronic proximal hamstring pathology is safe and effective for treating this pathology at short-term follow-up, with high rates of return to activity and patient satisfaction. This presents an appealing treatment option for patients with refractory proximal hamstring pathology, as well as a technique for repairing acute, full-thickness tears. With attention to detail, complication rates are low for endoscopic treatment of both acute and chronic proximal hamstring pathology.