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OrthoVellum

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Sports Medicine
intermediate
X-Type

Proximal Hamstring Avulsion Injury

Muscle Injuries

A 45-year-old recreational water skier presents after feeling a sudden "pop" in his posterior thigh during a fall. He has severe pain in the proximal posterior thigh and buttock with significant bruising extending down the thigh. He cannot sit comfortably or extend his hip against resistance. MRI shows complete avulsion of all three hamstring tendons from the ischial tuberosity with 3cm retraction. Regarding proximal hamstring avulsion injuries:

Mark each as TRUE or FALSE

A

Proximal hamstring avulsions typically occur in middle-aged recreational athletes during eccentric l...

B

Clinical features include acute posterior thigh/buttock pain, an audible pop, extensive ecchymosis e...

C

Hamstring avulsions most commonly occur in young elite sprinters; concentric contraction is the typi...

D

Indications for surgical repair include complete avulsions (especially 2-3 tendons), retraction grea...

E

Non-operative treatment may be appropriate for partial injuries with minimal retraction in low-deman...

Answer the questions to see explanations

Click T (True) or F (False) for each option