ReviewJournal of experimental orthopaedics2025
No difference in patient-reported outcomes between operative and non-operative management of proximal hamstring injuries, but return to sports is higher in operative treatment: A systematic review and meta-analysis.
Review in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: This study aimed to compare the patient-reported outcome score, return-to-sports rate, knee flexion strength and complications of operative and non-operative treatments for proximal hamstring tendon avulsions. Methods: A comprehensive search of PubMed, Ovid and Scopus was conducted to identify clinical comparative studies with Levels 1-3 evidence on operative versus non-operative management for proximal hamstring tendon avulsions. Studies were included if they reported post-treatment clinical outcomes and met inclusion criteria: comparative design, English language, full-text availability, and patient-reported outcomes. Data were analyzed using odds ratios (ORs) for dichotomous outcomes and mean differences (MDs) for continuous outcomes, with heterogeneity assessed by chi-square tests. Results: Seven studies, encompassing 8 cohorts and 592 cases (256 operative, 109 non-operative), met the inclusion criteria. The Methodology Index for Non-Randomized Studies scores for these studies ranged from 14 to 22, indicating a fair to good methodological quality. The operative group demonstrated a statistically significantly higher return-to-sport rate at pre-injury performance levels compared to non-operative management (65.2% vs. 50.7%; OR = 1.83; Conclusion: Based on fair to good-quality studies, findings apply mainly to active, middle-aged recreational athletes. The operative and non-operative treatments yield similar patient-reported outcomes in proximal hamstring avulsions, though operative management may facilitate a higher return-to-sport rate. Level of Evidence: Level III.
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Registered trials
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