scholarly journals Radial versus Combined Shockwave Therapy in the Management of Proximal Hamstring Tendinopathy: Similar Functional Outcomes in Running Cohort

2021 ◽  
Vol 11 (04) ◽  
pp. 742
Author(s):  
P.H. Yun ◽  
S. DeLuca ◽  
D. Robinson ◽  
A. Park ◽  
C. Rosenberg ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Shockwave Therapy ◽  
Proximal Hamstring

scholarly journals Functional Outcomes Following Surgical Repair of Acute and Chronic Ruptures of the Proximal Hamstring Tendons

2013 ◽  
Vol 1 (4_suppl) ◽  
pp. 2325967113S0006
Author(s):  
Christopher M. Larson ◽  
David Rust ◽  
Kathryn M. Samuelson ◽  
Russell Giveans ◽  
Rebecca M. Stone
Keyword(s):  
Functional Outcomes ◽  
Surgical Repair ◽  
Hamstring Tendons ◽  
Proximal Hamstring

scholarly journals A Pilot Randomised Trial Comparing Individualised Physiotherapy Versus Shockwave Therapy for Proximal Hamstring Tendinopathy: A protocol

2021 ◽  
Author(s):  
Aidan Lindsay Fenner Rich ◽  
Jillianne Leigh Cook ◽  
Andrew John Hahne ◽  
Jon Joseph Ford
Keyword(s):  
Ordinal Data ◽  
Rating Scale ◽  
Pain Catastrophizing ◽  
Randomised Trial ◽  
Pilot Trial ◽  
Activity Level ◽  
Trial Registration ◽  
Global Rating ◽  
Shockwave Therapy ◽  
Proximal Hamstring

Abstract BackgroundProximal hamstring tendinopathy (PHT) presents as localised lower buttock pain with tasks such as squatting and sitting. It is a condition that occurs at all ages and levels of sporting participation and can cause disability with sport, work, and activities of daily living. This paper details a pilot trial protocol for investigating the effectiveness of individualised physiotherapy compared to extracorporeal shockwave therapy (ESWT) on pain and strength in people with PHT.Methods The study is an assessor-blinded, pilot randomised controlled trial (RCT). One hundred participants with PHT will be recruited from the local community and sporting clubs. Participants will be randomised to receive six sessions of either individualised physiotherapy or ESWT, with both groups also receiving standardised education and advice.Primary outcomes will be global rating of change on a 7-point Likert scale, and the Victorian Institute of Sport - Hamstring (VISA-H) scale, measured at 0, 4, 12, 26 and 52 weeks.. Secondary outcomes will include sitting tolerance, the modified Physical Activity Level Scale, eccentric hamstring strength, modified Tampa scale for kinesiophobia, the Orebro Musculoskeletal Screening Questionnaire, Numerical Pain Rating Scale (NPRS) for average and worst pain, participant adherence, the Pain Catastrophizing scale, satisfaction scores, and quality of life. Data will be analysed on an intention to treat basis, with between-group effects estimated using linear mixed models for continuous data and Mann Whitney U tests for ordinal data. DiscussionThis pilot RCT will compare individualised physiotherapy versus ESWT for PHT. The trial will determine feasibility and estimated treatment effects to inform a definitive trial in the future.Trial registrationThe trial has been prospectively registered with the Australia & New Zealand Clinical Trials Registry (ACTRN12621000846820), registered 1 July 2021, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373085

Platelet-rich plasma for treatment of chronic proximal hamstring tendinopathy

2020 ◽  
Vol 15 (4) ◽  
pp. 1509-1518
Author(s):  
Michael J Auriemma ◽  
Adam S Tenforde ◽  
Adam Harris ◽  
Kelly C McInnis
Keyword(s):  
Functional Outcomes ◽  
Rating Scale ◽  
Platelet Rich Plasma ◽  
Symptom Duration ◽  
Post Intervention ◽  
Reduction Of Pain ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale ◽  
Proximal Hamstring

Aim: To determine whether platelet-rich plasma (PRP) can successfully treat symptoms associated with proximal hamstring tendinopathy. Materials & methods: Charts were retrospectively reviewed of patients with a diagnosis of chronic proximal hamstring tendinopathy who underwent an ultrasound-guided leukocyte-rich PRP injection to assess reported outcomes at baseline and final follow-up post-intervention. Results: In 22 patients with a mean age of 48.7 years and mean symptom duration of 26.5 months, mean Numeric Pain Rating Scale and Victorian Institute of Sport Assessment Scale for Proximal Hamstring Tendinopathy subscores demonstrated statistically significant improvements (p < 0.05) at a mean of 7.91 months follow-up. Sixty-eight percent of patients demonstrated ≥50% reduction of pain. Conclusion: Pain and functional outcomes improved following injection of PRP.

Shockwave Therapy for the Treatment of Chronic Proximal Hamstring Tendinopathy in Professional Athletes

2010 ◽  
Vol 39 (1) ◽  
pp. 146-153 ◽  
Author(s):  
Angelo Cacchio ◽  
Jan D. Rompe ◽  
John P. Furia ◽  
Piero Susi ◽  
Valter Santilli ◽  
...  
Keyword(s):  
Professional Athletes ◽  
Shockwave Therapy ◽  
Proximal Hamstring

Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis

2014 ◽  
Vol 23 (12) ◽  
pp. 1843-1851 ◽  
Author(s):  
Chih-Yu Chen ◽  
Chia-Chian Hu ◽  
Pei-Wei Weng ◽  
Yu-Ming Huang ◽  
Chang-Jung Chiang ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Adhesive Capsulitis ◽  
Short Term ◽  
Extracorporeal Shockwave Therapy ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy

scholarly journals A Novel Technique for Proximal Hamstring Tendon Repair: High Reoperation Rate in a Series of 56 Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
William Blakeney ◽  
Simon Zilko ◽  
Wael Chiri ◽  
Peter Annear
Keyword(s):  
Functional Outcomes ◽  
Assessment Tool ◽  
Tendon Repair ◽  
Return To Sport ◽  
Hamstring Tendon ◽  
Reoperation Rate ◽  
Ischial Tuberosity ◽  
Novel Technique ◽  
Proximal Hamstring Rupture ◽  
Proximal Hamstring

This investigation looked at functional outcomes, following a novel technique of surgical repair using table staples. Patients underwent surgery for proximal hamstring rupture with table staples used to hold the tendon reapproximated to the ischial tuberosity. Functional outcomes following surgery were assessed. We also used a combined outcome assessment measure: the Perth Hamstring Assessment Tool (PHAT). A total of 56 patients with a mean age of 51 (range 15–71) underwent surgery. The mean follow-up duration was 26 months (range 8–59 months). A large proportion of patients (21/56, 37.5%) required reoperation for removal of the staple. Patients that did not require removal of the table staple did well postoperatively, with low pain scores (0.8–2 out of 10) and good levels of return to sport or running (75.8%). Those that required removal of the staple had a significantly lower PHAT score prior to removal, 47.8, but this improved markedly once the staple was removed, with a mean of 77.2 (P<0.001). Although our patients achieved similar outcomes in terms of pain and function, we thought the reoperation rate was unacceptably high. We would not recommend proximal hamstring tendon repair using this technique.

The surgical repair of proximal hamstring avulsions

2020 ◽  
Vol 102-B (10) ◽  
pp. 1419-1427 ◽  
Author(s):  
David Wood ◽  
Sofie R. French ◽  
Selin Munir ◽  
Rajiv Kaila
Keyword(s):  
Functional Outcomes ◽  
Surgical Repair ◽  
Operating Time ◽  
Optimal Timing ◽  
Median Score ◽  
Number Of Patients ◽  
Partial Tears ◽  
Patient Reported ◽  
Proximal Hamstring

Aims Despite the increase in the surgical repair of proximal hamstring tears, there exists a lack of consensus in the optimal timing for surgery. There is also disagreement on how partial tears managed surgically compare with complete tears repaired surgically. This study aims to compare the mid-term functional outcomes in, and operating time required for, complete and partial proximal hamstring avulsions, that are repaired both acutely and chronically. Methods This is a prospective series of 156 proximal hamstring surgical repairs, with a mean age of 48.9 years (21.5 to 78). Functional outcomes were assessed preinjury, preoperatively, and postoperatively (six months and minimum three years) using the Sydney Hamstring Origin Rupture Evaluation (SHORE) score. Operating time was recorded for every patient. Results Overall, significant improvements in SHORE scores were seen at both six months and mid-term follow-up. Preoperatively, acute patients (median score 27.1 (interquartile range (IQR) 22.9)) reported significantly poorer SHORE scores than chronic patients (median score 42.9 (IQR 22.1); p < 0.001). However, this difference was not maintained postoperatively. For partial tears, acutely repaired patients reported significantly lower preoperative SHORE scores compared to chronically reapired partial tears (median score 24.3 (IQR 15.7) vs median score 40.0 (IQR 25.0); p < 0.001) but also significantly higher SHORE scores at six-month follow-up compared to chronically repaired partial tears (median score 92.9 (IQR 10.7) vs. median score 82.9 (IQR 14.3); p < 0.001). For complete tears, there was only a difference in preoperative SHORE scores between acute and chronic groups. Overall, acute repairs had a significantly shorter operating time (mean 64.67 minutes (standard deviation (SD) 12.99)) compared to chronic repairs (mean 74.71 minutes (SD = 12.0); t = 5.12, p < 0.001). Conclusion Surgical repair of proximal hamstring avulsions successfully improves patient reported functional outcomes in the majority of patients, irrespective of the timing of their surgery or injury classification. However, reducing the time from injury to surgery is associated with greater improvement in patient outcomes and an increased likelihood of returning to preinjury functional status. Acute repair appears to be a technically less complex procedure, as indicated by reduced operating times, postoperative neurological symptoms and number of patients requiring bracing. Acute repair is therefore a preference among many surgeons. Cite this article: Bone Joint J 2020;102-B(10):1419–1427.

scholarly journals Self-Reported and Performance-Based Functional Outcomes After Surgical Repair of Proximal Hamstring Avulsions

2013 ◽  
Vol 41 (11) ◽  
pp. 2577-2584 ◽  
Author(s):  
Heléne Engberg Skaara ◽  
Håvard Moksnes ◽  
Frede Frihagen ◽  
Britt Stuge
Keyword(s):  
Functional Outcomes ◽  
Surgical Repair ◽  
And Performance ◽  
Proximal Hamstring

scholarly journals High-Grade Partial and Retracted (<2 cm) Proximal Hamstring Ruptures

2017 ◽  
Vol 5 (2) ◽  
pp. 232596711769250 ◽  
Author(s):  
Jonathan R. Piposar ◽  
Amrit V. Vinod ◽  
Joshua R. Olsen ◽  
Edward Lacerte ◽  
Suzanne L. Miller
Keyword(s):  
Physical Therapy ◽  
Operative Treatment ◽  
Functional Outcomes ◽  
Nonoperative Treatment ◽  
Treatment Modalities ◽  
High Grade ◽  
Hamstring Injuries ◽  
Significant Difference ◽  
Proximal Hamstring Rupture ◽  
Proximal Hamstring

Background: High-grade partial proximal hamstring tears and complete tears with retraction less than 2 cm are a subset of proximal hamstring injuries where, historically, treatment has been nonoperative. It is unknown how nonoperative treatment compares with operative treatment. Hypothesis: The clinical and functional outcomes of nonoperative and operative treatment of partial/complete proximal hamstring tears were compared. We hypothesize that operative treatment of these tears leads to better clinical and functional results. Study Design: Case series; Level of evidence, 4. Methods: A retrospective review identified patients with a high-grade partial or complete proximal hamstring rupture with retraction less than 2 cm treated either operatively or nonoperatively from 2007 to 2015. All patients had an initial period of nonoperative treatment. Surgery was offered if patients had continued pain and/or limited function refractory to nonoperative treatment with physical therapy. Outcome measures were each patient’s strength perception, ability to return to activity, Lower Extremity Functional Scale (LEFS) score, Short Form–12 (SF-12) physical and mental component outcome scores, distance traversed by a single-leg hop, and Biodex hamstring strength testing. Results: A total of 25 patients were enrolled in the study. The 15 patients who were treated nonoperatively sustained injuries at a mean age of 55.73 ± 14.83 years and were evaluated 35.47 ± 30.35 months after injury. The 10 patients who elected to have surgery sustained injuries at 50.40 ± 6.31 years of age ( P = .23) and were evaluated 30.11 ± 19.43 months after surgery. LEFS scores were significantly greater for the operative group compared with the nonoperative group (77/80 vs 64.3/80; P = .01). SF-12 physical component scores for the operative group were also significantly greater ( P = .03). Objectively, operative and nonoperative treatment modalities showed no significant difference in terms of single-leg hop distance compared with each patient’s noninjured leg ( P = .26) and torque deficit at isokinetic speeds of 60 and 180 deg/s ( P = .46 and .70, respectively). Conclusion: Patients who undergo operative and nonoperative treatment of high-grade partial and/or complete proximal hamstring tears with <2 cm retraction demonstrate good clinical and functional outcomes. In our series, 40% of patients treated nonoperatively with physical therapy went on to have surgery. For those patients with persistent pain and/or loss of function despite conservative treatment, surgical repair is a viable treatment option that is met with good results.

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