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OrthoVellum

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Not affiliated with the Royal Australasian College of Surgeons.

Sports Medicine
intermediate
X-Type

Proximal Hamstring Injuries - Ischial Avulsion and Surgical Repair

Hamstring Injuries

A 45-year-old recreational water skier presents with acute posterior thigh pain after a fall during deep-water start. She felt a sudden "pop" and has significant ecchymosis extending to the popliteal fossa. She is unable to sit comfortably and has 3/5 power on resisted knee flexion. MRI shows complete avulsion of all three hamstring tendons from the ischial tuberosity with 3cm retraction. Regarding proximal hamstring injuries:

Mark each as TRUE or FALSE

A

Water-skiing is the classic mechanism for acute proximal hamstring avulsion; the injury occurs durin...

B

Complete avulsion of all three tendons (biceps femoris, semimembranosus, semitendinosus) with greate...

C

The sciatic nerve lies lateral to the ischial tuberosity and is rarely at risk during proximal hamst...

D

Chronic proximal hamstring avulsions (greater than 4-6 weeks) are associated with sciatic nerve adhe...

E

Surgical repair uses suture anchors or transosseous tunnels to reattach tendons to the ischial tuber...

Answer the questions to see explanations

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