Successful outcomes after surgical treatment of chronic complete proximal hamstring avulsions in female athletes older than 55 years
Apunts, Med. esport (Internet)
; 58(218)April - June 2023. ilus, tab
Artigo
em Inglês
| IBECS
| ID: ibc-220526
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Introduction:
Proximal hamstring avulsions are a rare pathology, usually treated conservatively in elderly patients, resulting in severe functional limitation. Surgical repair can obtain a significant improvement in functionality and quality of life.Methods:
Prospective case series of 3 women over 55 years of age (mean age 61), amateur athletes, with complete proximal and retracted hamstring conjoint tendon avulsion, treated by open primary repair surgery in chronic period (>4 weeks). The study variables were functional scales (PHAT, LEFS, and SF-12) before the intervention and one year after surgery, and strength measurement with a dynamometer and digital voltage scale. Statistical analysis included the Wilcoxon t-test and the MannWhitney U test.Results:
One year after surgery, all functional scales improved PHAT 16 vs 83.33, LEFS 17.33 vs 68.67, P/SF-12.25.47 vs 51.14, and M/SF-12.35.42 vs 57.92. A normalization of the strength was obtained, observing a strength of 97.33% (range 72140) and 111.67% (range 89128) for contraction at 90° of flexion and in extension, respectively, with no differences between both legs. Digital measurement showed a strength of 99% (range 50180).Conclusion:
Surgery for complete and retracted proximal avulsions of the hamstring conjoint tendon in chronic period improves functionality and quality of life in elderly women with regular sports practice, as well as normalization of muscle strength. (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Traumatismos dos Tendões
/
Manutenção Corretiva
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Apunts, Med. esport (Internet)
Ano de publicação:
2023
Tipo de documento:
Artigo
Instituição/País de afiliação:
International Sports Medicine Clinic/Spain