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Nonoperative Treatment of Single-Tendon Proximal Hamstring Avulsions in Recreational Athletes.
Bono, Olivia J; Forlizzi, Julianne; Shah, Sarav S; Nacca, Christopher R; Manz, Eric; Ives, Katharine; Miller, Suzanne L.
Afiliação
  • Bono OJ; Orthopaedic Surgery, New England Baptist Hospital, Boston, United States.
  • Forlizzi J; Orthopaedic Surgery, New England Baptist Hospital, Boston, United States.
  • Shah SS; Orthopaedic Surgery, New England Baptist Hospital, Boston, United States.
  • Nacca CR; Orthopaedic Surgery, New England Baptist Hospital, Boston, United States.
  • Manz E; Orthopaedic Surgery, New England Baptist Hospital, Boston, United States.
  • Ives K; Orthopaedic Surgery, New England Baptist Hospital, Boston, United States.
  • Miller SL; Orthopaedic Surgery, New England Baptist Hospital, Boston, United States.
Sports Med Int Open ; 7(1): E9-E14, 2023 Jan.
Article em En | MEDLINE | ID: mdl-38549733
ABSTRACT
The purpose of this study was to evaluate the patient-reported and objective functional outcomes of those patients who underwent nonoperative management of a single-tendon retracted proximal hamstring avulsion. A retrospective case series of consecutive patients with an MRI-confirmed diagnosis of single-tendon proximal hamstring avulsion treated nonoperatively with at least one year of follow-up was performed. Patient-reported outcome measures (PROMs) including SF-12v2, Lower Extremity Functional Score (LEFS), Hip Outcome Score-activities of daily living and sport subscale (HOS-ADL, HOS-SS) were prospectively collected. Objective measurements included strength testing of the affected and unaffected limbs with a handheld dynamometer and single-leg hop test. Student's t-tests were used to determine differences between limbs. Eleven of fourteen patients were available for PROMs (79%); five completed functional testing. Subjective scores revealed a mean SF-12v2 mental component score of 56.53±8.2, and a physical component score of 50.1±12.7. LEFS was 84%±19.8, HOS-ADL 87.9%±17.2, and HOS-SS 80.9%±24. The differences between limbs were not statistically significant for strength at 45 or 90 degrees of knee flexion, nor for single-leg hop distance. Patients in a non-professional athlete population who undergo nonoperative management of single-tendon retracted proximal hamstring avulsions can expect good subjective and objective outcomes.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article