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Clinical Orthopaedics and Related Research®

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01-11-2011 | Case Report

Evaluation and Imaging of an Untreated Grade III Hamstring Tear: A Case Report

Authors: Brett B. Clark, PT, David Jaffe, MD, R. Frank Henn 3rd, MD, Richard M. Lovering, PhD, PT

Published in: Clinical Orthopaedics and Related Research® | Issue 11/2011

Abstract

Background

Muscle strains are one of the most common complaints treated by physicians. High-force lengthening contractions can produce very high forces resulting in pain and tissue damage; such strains are the most common cause of muscle injuries. The hamstring muscles are particularly susceptible as they cross two joints and regularly perform lengthening contractions during running. We describe a patient with return to full function after a large hamstring tear.

Case Description

We report the case of a 26-year-old man who presented 1 year after a noncontact, left-sided proximal hamstring tear incurred while sprinting. He received no medical treatment or formal rehabilitation. He was able to return to all sports and activities 1 to 2 months after injury, but noted a persistent deformity of the proximal thigh, which led him to seek evaluation. Physical examination, MRI functional tests, and specific muscle tests 1 year after his injury documented a major hamstring tear at the musculotendinous junction with muscle retraction, but no avulsion of the proximal tendon attachment.

Literature Review

Surgery often is recommended for major proximal hamstring tendon tears, especially when more than one tendon of origin is ruptured from the ischial tuberosity. Myotendinous tears are treated nonoperatively, but may be associated with decreased strength, prolonged recovery, and recurrence.

Purpose and Clinical Relevance

We describe the case of a young man who sustained a hamstring tear, with retraction, at the proximal myotendinous junction, where the biceps femoris and semitendinosus arise from the conjoint tendon. He achieved full functional recovery without medical attention, but had a persistent cosmetic deformity and slight hamstring tightness. This case suggests a benign natural history for this injury and the appropriateness of noninvasive treatment.

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Title: Evaluation and Imaging of an Untreated Grade III Hamstring Tear: A Case Report
Authors: Brett B. Clark, PT
David Jaffe, MD
R. Frank Henn 3rd, MD
Richard M. Lovering, PhD, PT
Publication date: 01-11-2011
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 11/2011
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-011-2027-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluation and Imaging of an Untreated Grade III Hamstring Tear: A Case Report

Abstract

Background

Case Description

Literature Review

Purpose and Clinical Relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case Description

Literature Review

Purpose and Clinical Relevance

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