Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Skeletal Radiology
Published in: Skeletal Radiology 3/2016

01-03-2016 | Case Report

Complete tear of the distal hamstring tendons in a professional football player: a case report and review of the literature

Authors: Sultan Aldebeyan, Mathieu Boily, Paul A. Martineau

Published in: Skeletal Radiology | Issue 3/2016

Login to get access

Abstract

Semimembranosus tendon ruptures are rare and are often associated with involvement of the cruciate ligaments. We present a 24-year-old American football player who sustained a complete rupture of the semimembranosus tendon near its insertion associated with an avulsion fracture of the conjoint attachment of the lateral collateral ligament (LCL) and biceps femoris with intact cruciate ligaments and menisci during practice. At the scene he was immobilized and was taken to the hospital immediately. The diagnosis was reached after radiographs and an MRI of the affected knee were obtained. The semimembranosus tendon and the avulsion of the biceps femoris insertion were repaired surgically. We also review the literature for previously reported cases of distal hamstring injuries.
Literature
1.
Clanton TO, Coupe KJ. Hamstring strains in athletes: diagnosis and treatment. J Am Acad Orthop Surg. 1998;6(4):237–48.PubMed
2.
Askling C, Karlsson J, Thorstensson A. Hamstring injury occurrence in elite soccer players after preseason strength training with eccentric overload. Scand J Med Sci Sports. 2003;13(4):244–50.PubMedCrossRef
3.
Cohen S, Bradley J. Acute proximal hamstring rupture. J Am Acad Orthop Surg. 2007;15(6):350–5.PubMed
4.
Askling CM, Koulouris G, Saartok T, Werner S, Best TM. Total proximal hamstring ruptures: clinical and MRI aspects including guidelines for postoperative rehabilitation. Knee Surg Sports Traumatol Arthrosc. 2013;21(3):515–33.
5.
Carmichael J, Packham I, Trikha SP, Wood DG. Avulsion of the proximal hamstring origin. Surgical technique. J Bone Joint Surg Am. 2009;91 Suppl 2:249–56.PubMed
6.
Geronikolakis S, Best R. Isolated rupture of the distal tendon of the biceps femoris muscle in a sport climber: an uncommon injury. Sportverletz Sportschaden. 2012;26(2):114–6.PubMedCrossRef
7.
Lempainen L, Sarimo J, Mattila K, Heikkila J, Orava S, Puddu G. Distal tears of the hamstring muscles: review of the literature and our results of surgical treatment. Br J Sports Med. 2007;41(2):80–3. discussion 3.PubMedPubMedCentralCrossRef
8.
Lempainen L, Sarimo J, Mattila K, Heikkilä J, Orava S. Distal tears of the hamstring muscles: review of the literature and our results of surgical treatment. Br J Sports Med. 2007;41(2):80–3.PubMedPubMedCentralCrossRef
9.
Alioto RJ, Browne JE, Barnthouse CD, Scott AR. Complete rupture of the distal semimembranosus complex in a professional athlete. Clin Orthop Relat Res. 1997;336:162–5.PubMedCrossRef
10.
De Smet AA, Best TM. MR imaging of the distribution and location of acute hamstring injuries in athletes. AJR Am J Roentgenol. 2000;174(2):393–9.PubMedCrossRef
11.
Khoshnoodi P, Tehranzadeh AD, Dunn JM, Tehranzadeh J. Semimembranosus tendon avulsion fracture of the posteromedial tibial plateau associated with posterior cruciate ligament tear and capsular rupture. Skelet Radiol. 2014;43(2):239–42.CrossRef
12.
Vanek J. Posteromedial fracture of the tibial plateau is not an avulsion injury. A case report and experimental study. JBJS. 1994;76(2):290–2.
13.
Beltran J, Matityahu A, Hwang K, Jbara M, Maimon R, Padron M, et al. The distal semimembranosus complex: normal MR anatomy, variants, biomechanics and pathology. Skelet Radiol. 2003;32(8):435–45.CrossRef
14.
Sutton G. Hamstrung by hamstring strains: a review of the literature*. J Orthop Sports Phys Ther. 1984;5(4):184–95.PubMedCrossRef
15.
Cohen SB, Towers JD, Zoga A, Irrgang JJ, Makda J, Deluca PF, et al. Hamstring injuries in professional football players: magnetic resonance imaging correlation with return to play. Sports Health. 2011;3(5):423–30.PubMedPubMedCentralCrossRef
16.
Lempainen L, Banke IJ, Johansson K, Brucker PU, Sarimo J, Orava S, et al. Clinical principles in the management of hamstring injuries. Knee Surg Sports Traumatol Arthrosc. 2014;23(8):2449–56.
17.
Alzahrani MM, Aldebeyan S, Abduljabbar F, Martineau PA. Hamstring injuries in athletes: diagnosis and treatment. JBJS Reviews. 2015;3(6):e5.
18.
Hallen A, Ekstrand J. Return to play following muscle injuries in professional footballers. J Sports Sci. 2014;32(13):1229–36.PubMedCrossRef
19.
Regauer M, Kettler M, Schieker M, Kanz KG, Mutschler W. Complete rupture of the proximal semimembranosus tendon. Minimally invasive surgical repair by use of a suture anchor in a rare but often underestimated injury. Unfallchirurg. 2005;108(12):1072. 4–7.PubMedCrossRef
20.
Evans NA. Current concepts in anabolic-androgenic steroids. Am J of Sports Med. 2004;32(2):534–42.CrossRef
Metadata
Title
Complete tear of the distal hamstring tendons in a professional football player: a case report and review of the literature
Authors
Sultan Aldebeyan
Mathieu Boily
Paul A. Martineau
Publication date
01-03-2016
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 3/2016
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-015-2306-2

Other articles of this Issue 3/2016

Skeletal Radiology 3/2016 Go to the issue

Scientific Article

Radiation dose and intra-articular access: comparison of the lateral mortise and anterior midline approaches to fluoroscopically guided tibiotalar joint injections

Scientific Article

Myxoinflammatory fibroblastic sarcoma: spectrum of disease and imaging presentation

Review Article

3D printing from diagnostic images: a radiologist’s primer with an emphasis on musculoskeletal imaging—putting the 3D printing of pathology into the hands of every physician

Erratum

Erratum to: Radiological findings in an ancient Iranian salt mummy (Chehrābād ca. 410–350 BC)

Scientific Article

In-vivo T2-relaxation times of asymptomatic cervical intervertebral discs

Case Report

Dynamic sonography of snapping hip due to gluteus maximus subluxation over greater trochanter