Muscle and Tendon Injuries
A 32-year-old professional sprinter presents after feeling a "pop" in the posterior thigh during the start of a 100m race. He has severe posterior thigh pain, difficulty walking, and extensive ecchymosis extending to the popliteal fossa. On examination, there is a palpable defect at the ischial tuberosity, weakness of knee flexion, and positive straight leg raise reproducing pain. MRI confirms complete avulsion of all three hamstring tendons from the ischial tuberosity with 3cm retraction. Regarding proximal hamstring injuries:
Mark each as TRUE or FALSE
The hamstrings consist of three muscles: biceps femoris (long head), semimembranosus, and semitendin...
Complete proximal hamstring avulsions in young, active patients are an indication for surgical repai...
All proximal hamstring injuries require surgical repair; conservative treatment never achieves accep...
MRI is the gold standard for assessing proximal hamstring injuries; it determines complete versus pa...
Ecchymosis extending distally to the popliteal fossa is a clinical sign suggestive of complete ruptu...
Answer the questions to see explanations
Click T (True) or F (False) for each option