ArticleOrthopaedic journal of sports medicine2025
Influence of Workers' Compensation Status on Functional Recovery and Return to Work After Proximal Hamstring Avulsion Surgery: A Matched Cohort Study.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Risk Factors for Complications After Proximal Hamstring Avulsion Injury: Analysis of 757 Patients From the PHAS Cohort.Orthopaedic journal of sports medicine · 2026Article
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10 authors.
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Abstract
Background: While patients receiving workers' compensation (WC) often exhibit lower postoperative functional outcomes after orthopaedic surgery, this has not been completely explored with proximal hamstring avulsion injury (PHAI). Purpose: To (1) investigate the impact of patients with WC status on the functional outcome of PHAI repair and (2) identify risk factors for worse outcomes after PHAI repair. Study Design: Cohort study; Level of evidence, 3. Methods: This study focused on adults >18 years who underwent primary PHAI repair between 2008 and 2021 and had minimum 2-year follow-up data. Patients were divided into a WC group and a control group matched based on age, Tegner score, injury type (chronicity and tendon involved), and follow-up duration. The primary outcome measure was the Parisian Hamstring Avulsion Score (PHAS), with secondary outcomes including return-to-work metrics, activity levels measured by the Tegner and University of California at Los Angeles scores, and complications. The association between WC status and having worse postoperative outcomes (work changes, PHAS scores in the bottom 25% of cases, delayed return to work, or complications) was assessed, and the model that showed a statistically significant association with WC status was included in a multivariate analysis to adjust for confounders. Results: Overall, 104 patients (51 WC and 53 controls), with a mean age of 49.56 ± 9 years and a mean follow-up of 58.99 ± 44.61 months, were included. PHAS scores improved significantly after repair in both groups, yet WC patients exhibited lower postoperative PHAS scores (158.78 ± 34.43) than did control patients (171.77 ± 32.17; Conclusion: The lower functional outcomes seen in patients with WC were not significant after adjusting for confounders, with injury chronicity being the key factor affecting postoperative results. No association was detected between WC status and return-to-work metrics.
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