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Avulsion of the Hamstring Muscle Group: A Follow-Up of 6 Adult Non-Athletes with Early Operative Treatment: A Brief Report

Mica, Ladislav ; Schwaller, Adrian ; Stoupis, Christoferos ; Penka, Igor ; Vomela, Jindřich ; Vollenweider, Andreas

In: World Journal of Surgery, 2009, vol. 33, no. 8, p. 1605-1610

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    Titre
    • Avulsion of the Hamstring Muscle Group: A Follow-Up of 6 Adult Non-Athletes with Early Operative Treatment: A Brief Report
    Auteur
    • Mica, Ladislav. Department of Trauma Surgery, University Hospital of Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    • Schwaller, Adrian. Department of General Surgery, Spital Männedorf, 8708, Männedorf, Switzerland
    • Stoupis, Christoferos. Department of Diagnostic Radiology, Spital Männedorf, 8708, Männedorf, Switzerland
    • Penka, Igor. Department of Surgery, University Hospital of Brno, 62500, Brno, Czech Republic
    • Vomela, Jindřich. Department of Surgery, University Hospital of Brno, 62500, Brno, Czech Republic
    • Vollenweider, Andreas. Department of General Surgery, Spital Männedorf, 8708, Männedorf, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • World Journal of Surgery, 2009, vol. 33, no. 8, p. 1605-1610. Springer-Verlag
    Autre version électronique
    Classification
    • Santé
    Identifiant OAI-PMH
    • oai:doc.rero.ch:315266
    Summary
    Background: Complete proximal avulsions of the hamstring muscle group may cause significant morbidity and loss of function. These pelvis-near musculoskeletal injuries are mostly acquired during sports activities in a hip flexion and knee extension. Here we present a study group of 6 middle-aged to elderly patients suffering a complete proximal hamstring avulsion and following early surgical refixation. Early surgical refixation leads to complete resumption of the activities of daily life without loss of function. Materials and methods: The 6 patients (3 men and 3 women) included in this study had an average age of 59.07±4.47years at the time of injury. All of them suffered a complete avulsion of the hamstring muscle group. Surgical refixation was accomplished with the corkscrew anchor refixation system (Arthrex Manufacturing, Inc., Naples, FL). The cases were retrospectively analyzed using a hip joint evaluation system, the Harris Hip Score, and radiological follow-up by magnetic resonance imaging (MRI). Data are given as mean±SEM. Student's t-test was used for normal distribution of the data. Results: The mean follow-up time was 31.83±18.9months (range: 10-118months). All patients were rated not to have a significant difference in function compared with the uninjured side. None of the patients suffered any handicaps resulting from surgery or the injury. A complete consolidation in all patients was observed in the follow-up MRI. Conclusions: Early surgical intervention and subsequent therapy in a complete hamstring avulsion injury may prevent loss of hip-joint stability and prevent the sequalae of degradative hip or vertebral events