Proximal hamstring tendon avulsions: comparable clinical outcomes of operative and non-operative treatment at 1-year follow-up using a shared decision-making model

Review written by Shruti Nambiar info

Key Points

  1. Operative and non-operative treatment showed similar clinical outcomes at one year follow-up in patients with proximal hamstring tendon avulsion (PHTA).
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BACKGROUND & OBJECTIVE

Proximal hamstring tendon avulsion (PHTA) commonly occurs in people aged 45 to 59 years, with younger men most often injured in sports requiring rapid acceleration, and middle-aged women most often injured performing activities of daily living (1). PHTA is an uncommon injury comprising 12% of all hamstring injuries among athletes and has a lack of evidence-based guidelines for its management (1,2).

This study aimed to compare the outcomes of operative and non-operative treatment in patients with PHTA at 1 year follow-up using a shared decision-making model.

PHTA is an uncommon injury comprising 12% of all hamstring injuries among athletes.
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Using a shared decision-making model helps achieve patient satisfaction and similar clinical outcomes for operative and non-operative treatments.

METHODS

  • Participants with a suspected proximal hamstring tendon injury between October 2016 and August 2019 were screened and included if they were 18 years of age or older with an MRI-confirmed PHTA.
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