Endoscopic Management of Calcific Tendinopathy in the Proximal Hamstring: Two Case Reports.

This report presents two cases of previously undocumented proximal hamstring calcific tendinopathy, diagnosed and treated with endoscopic management. A 54-year-old woman with a 50% partial-thickness tear and a 72-year-old woman with a 90% tear and knee pathology underwent endoscopic debridement and tendon repair, achieving symptom relief. Neither patient had a preoperative diagnosis of calcific tendinopathy, emphasizing MRI limitations. These cases suggest that calcific tendinopathy of the proximal hamstring may be underrecognized and that endoscopic management offers direct visualization, effective debridement, and minimally invasive repair with low morbidity. Endoscopic evaluation should be considered for patients with persistent hamstring pain despite conservative treatment.