Key result
Surgical repair of a 5-week-old hamstring avulsion in an active duty airman yielded an excellent result and return to full duty.
Why the study?
Does surgical repair improve outcomes in a patient with a 5-week-old hamstring avulsion?
Case Report (n=1)
Does surgical repair improve outcomes in a patient with a 5-week-old hamstring avulsion?
Surgical repair of complete hamstring avulsions, even when delayed by several weeks, can result in excellent clinical outcomes and return to full duty.
May support delayed repair in select active-duty cases; leaves open need for prospective trials before broader adoption.
Hamstring injuries are common in active athletic populations, such as military service members. Ruptures of the hamstring origin from the ischial tuberosity are rare injuries and missed if not considered in the differential diagnosis of ischial pain. Unlike other hamstring injuries, complete hamstring avulsions must be treated surgically. Results of untreated hamstring avulsions are poor. The purpose of this article is to describe the case of an active duty airman who presented for an unrelated complaint and was discovered to have a 5-week-old hamstring avulsion. Surgical repair of the hamstring avulsion 6 weeks after injury yielded an excellent result and return to full duty. Hamstring avulsions recognized early by history and physical examination and diagnostic imaging permits early and effective treatment. Early surgical repair of the tendon to bone can result in return to full duty.
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Johnson et al. (2003) conducted a case report in Hamstring avulsion (n=1). Surgical repair was evaluated on Return to full duty. Surgical repair of a 5-week-old hamstring avulsion in an active duty airman yielded an excellent result and return to full duty.
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