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Endoscopic Transtendinous Repair for Partial-Thickness Proximal Hamstring Tendon Tears

Authors: Jackson TJ, Trenga A, Lindner D, El-Bitar Y, Domb BG

DOI: 10.1016/j.eats.2013.09.007

Purpose:

To describe a minimally invasive endoscopic transtendinous surgical technique for repairing partial-thickness proximal hamstring tendon tears after failed conservative management.

Methods:

Detailed technical report of the surgical approach, similar to techniques used in partial-thickness gluteus medius repairs.

Key Findings:

  • The endoscopic transtendinous method enables effective access and repair of undersurface partial proximal hamstring tendon tears.
  • Avoids extensive dissection and morbidity associated with open surgery.

Conclusion:

Endoscopic transtendinous repair is a viable surgical option for persistent partial proximal hamstring tendon tears.

What Does This Mean for Providers?

  • Consider this less invasive repair technique for patients with refractory partial proximal hamstring tears.
  • May offer advantages in recovery time and surgical morbidity compared to open approaches.
  • Familiarity with this method can expand surgical options for chronic hamstring injuries.