ArticleBMJ open sport & exercise medicine2019
Patient-reported outcomes after surgical and non-surgical treatment of proximal hamstring avulsions in middle-aged patients.
Article in BMJ open sport & exercise medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- A systematic review of surgical intervention in the treatment of hamstring tendon ruptures: current evidence on the impact on patient outcomes.Annals of medicine · 2022Pooled it
- Back in stride: patient perspectives on operative and nonoperative treatment and recovery after acute proximal hamstring avulsions - a qualitative study.BMC musculoskeletal disorders · 2026Trial
- Initial Tendon Retraction is Associated with Muscle Degeneration After Nonoperatively Treated Proximal Hamstring Avulsions.Sports medicine - open · 2026Article
- Successful rapid return to performance following non-operative treatment of proximal hamstring tendon avulsion in elite athletes.BMJ open sport & exercise medicine · 2025Article
- Conservative management of proximal hamstring avulsion: A clinical study.Journal of orthopaedics · 2024Article
- Systematic Review of Complications Associated With Proximal Hamstring Tendon Repair.Orthopaedic journal of sports medicine · 2023Article
- Increasing incidence of surgically treated hamstring injuries: a nationwide registry study in Sweden between 2001 and 2020.Acta orthopaedica · 2023Article
- At mid- to long-term follow-up after proximal hamstring tendon avulsion; there was greater fatty infiltration, muscle atrophy and strength deficit in the hamstring muscles of the injured leg than in the uninjured leg.Journal of orthopaedic surgery and research · 2023Article
- Nonoperative Treatment of Single-Tendon Proximal Hamstring Avulsions in Recreational Athletes.Sports medicine international open · 2023Article
- Outcomes following surgical management of proximal hamstring tendon avulsions : a systematic review and meta-analysis.Bone & joint open · 2022Article
- Proximal Hamstring Tendon Avulsions: A Survey of Orthopaedic Surgeons' Current Practices in the Nordic Countries.Sports medicine - open · 2022Article
- Predictive Factors Influencing Functional Results After Proximal Hamstring Tendon Avulsion Surgery: A Patient-Reported Outcome Study After 227 Operations From a Single Center.Orthopaedic journal of sports medicine · 2021Article
- Incidence of Symptomatic Venous Thromboembolism in Proximal Hamstring Repair: A Prospective Cohort Study.Orthopaedic journal of sports medicine · 2021Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIn the literature on proximal hamstring avulsions, only two studies report the outcomes of non-surgically treated patients. Our objective was to compare subjective recovery after surgical and non-surgical treatment of proximal hamstring avulsions in a middle-aged cohort.
methodsWe included 47 patients (33 surgically and 14 non-surgically treated) with a mean (SD) age of 51 (±9) years in a retrospective cohort study. Follow-up time mean (SD) of 3.9 (±1.4) years. The outcome variables were the Lower Extremity Functional Scale (LEFS) and questions from the Proximal Hamstring Injury Questionnaire. Outcome variables were adjusted in regression models for gender, age, American Society of Anestesiologits (ASA) classification and MRI findings at diagnosis.
resultsThe baseline characteristics showed no differences except for the MRI result, in which the surgically treated group had a larger proportion of tendons retracted ≥ 2 cm. The mean LEFS score was 74 (SD±12) in the surgically treated cohort and 72 (SD±16) in the non-surgically treated cohort. This was also true after adjusting for confounders. The only difference in outcome at follow-up was the total hours performing physical activity per week, p=0.02; surgically treated patients reported 2.5 hours or more (5.2 vs 2.7).
conclusionThis study on middle-aged patients with proximal hamstring avulsions was unable to identify any difference in patient-reported outcome measures between surgically and non-surgically treated patients. The vast majority of patients treated surgically had complete proximal hamstring avulsions with ≥ 2 cm of retraction. We conclude that to obtain an evidence-based treatment algorithm for proximal hamstring avulsions studies of higher scientific level are needed.
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