Matthews John R, Sonnier John Hayden, Prodoehl John P, Saucedo Samuel T, Avendano John P, Johns William, Freedman Kevin B, Ciccotti Michael G, Cohen Steven B
Division of Sports Medicine, Rothman Orthopaedics, Philadelphia, Pennsylvania.
Sidney Kimmel Medical College, Philadelphia, Pennsylvania.
JBJS Rev. 2022 Mar 3;10(3):01874474-202203000-00007. doi: e21.00215.
»: Distal hamstring muscle injuries, although relatively uncommon, can potentially lead to substantial morbidity in athletes; prolonged rehabilitation times and high rates of reoccurrence have been documented.
»: Overall, magnetic resonance imaging is considered the "gold standard" for evaluation of hamstring injuries because it allows assessment for concomitant pathology and can clarify return-to-sport timelines.
»: Complete tears of the distal biceps femoris and semimembranosus muscles respond well to surgical repair, whereas complete tears of the distal semitendinosus can be successfully treated nonoperatively or with surgical resection.
»: Future research may be necessary to further optimize treatment of these injuries and to determine the efficacy of biologic adjuvant therapy.
：腘绳肌远端肌肉损伤虽然相对不常见，但可能会给运动员带来严重的发病风险；文献记载其康复时间长且复发率高。
：总体而言，磁共振成像被认为是评估腘绳肌损伤的“金标准”，因为它可以评估伴随的病理情况，并能明确恢复运动的时间线。
：股二头肌远端和半膜肌的完全撕裂对手术修复反应良好，而半腱肌远端的完全撕裂可以通过非手术治疗或手术切除成功治疗。
：未来可能需要进一步研究，以进一步优化这些损伤的治疗方法，并确定生物辅助治疗的疗效。
