Endoscopic Repair of a Chronic Incomplete Proximal Hamstring Avulsion in a Cheerleader
Authors: Lindner D, Trenga AP, Stake CE, Jackson TJ, El Bitar YF, Domb BG
DOI:https://doi.org/10.1097/JSM.0b013e31829611b1
Purpose:
To describe a minimally invasive endoscopic technique for repairing chronic, incomplete proximal hamstring avulsions refractory to conservative therapy.
Methods:
Case report of a 16-year-old female cheerleader with persistent hamstring pain after injury, treated with endoscopic repair in the prone position.
Key Findings:
- Complete resolution of ischial tuberosity pain and sitting discomfort by 3 months post-op.
- Procedure was technically feasible and well-tolerated.
Conclusion:
Endoscopic repair offers a promising minimally invasive option for chronic partial proximal hamstring avulsions unresponsive to nonsurgical management.
What Does This Mean for Providers?
- Consider endoscopic repair as a less invasive alternative to open surgery for partial hamstring avulsions, particularly in athletes or active patients.
- Early surgical intervention may prevent chronic pain and functional limitations in refractory cases.
- Familiarity with endoscopic anatomy and technique is essential for successful outcomes.