Abstract
The treatment of hip pathology has expanded dramatically in the last decade or so. One of the final areas that have not been thoroughly explored is the posterior aspect of the joint. Specifically, the hamstring origin, with its proximity to the sciatic nerve, is one such region. This chapter discusses the management of hamstring tears (partial and complete) and chronic ischial bursitis. Along with these pathologies, the sciatic nerve is often involved and needs to be considered in the management of these entities. The advent of endoscopic techniques has allowed for complete visualization of the posterior aspect of the hip in a minimally invasive fashion; thus we have been able to more thoroughly determine the etiology of the pathologies in the area as well as improve their treatment.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Martin HD, Shears SA, Johnson JC, et al. The endoscopic treatment of sciatic nerve entrapment/deep gluteal syndrome. Arthroscopy. 2011;27:172–81.
Byrd JWT, Polkowski G, Jones KS. Endoscopic management of the snapping iliopsoas tendon. Arthroscopy. 2009;25(6):e18.
Brown T. Thigh. In: Drez DD, JC DL, Miller MD, editors. Orthopaedic Sports medicine. Principles and practice, vol. 2. Philadelphia: Saunders; 2003. p. 1481–523.
Clanton TO, Coupe KJ. Hamstring strains in athletes: diagnosis and treatment. J Am Acad Orthop Surg. 1998;6:237–48.
Garrett WE Jr. Muscle strain injuries. Am J Sports Med. 1996;24(6 Suppl):S2–8.
Garrett WE Jr, Rich FR, Nikolaou PK, et al. Computed tomography of hamstring muscle strains. Med Sci Sports Exerc. 1989;2:506–14.
Elliott MC, et al. Hamstring muscle strains in professional football players: a 10-year review. Am J Sports Med. 2011;39:843–50.
Miller SL, Gill J, Webb GR. The proximal origin of the hamstrings and surrounding anatomy encountered during repair. A cadaveric study. J Bone Joint Surg. 2007;89A:44–8.
Blasier RB, Morawa LG. Complete rupture of the hamstring origin from a water skiing injury. Am J Sports Med. 1990;18:435–7.
Orava S, Kujala UM. Rupture of the ischial origin of the hamstring muscles. Am J Sports Med. 1995;23(6):702–5.
Klingele KE, Sallay PI. Surgical repair of complete proximal hamstring tendon rupture. Am J Sports Med. 2002;30(5):742–7.
Mica L, Schwaller A, Stoupis C, et al. Avulsion of the hamstring muscle group: a follow-up of 6 adult non-athletes with early operative treatment: a brief report. World J Surg. 2009;33(8):1605–10.
Sallay PI, Friedman RL, Coogan PG, et al. Subjective and functional outcomes following surgical repair of complete ruptures of the proximal hamstring complex. Orthopedics. 2008;31(11):1092–6.
Sarimo J, Lempainen L, Mattila K, et al. Complete proximal hamstring avulsions: a series of 41 patients with operative treatment. Am J Sports Med. 2008;36(6):1110–5.
Konan S, Haddad F. Successful return to high level sports following early surgical repair of complete tears of the proximal hamstring tendons. Int Orthop. 2010;34(1):119–23.
Mendiguchia J, Brughelli M. A return-to-sport algorithm for acute hamstring injuries. Phys Ther Sport. 2011;12(1):2–14.
Zissen MH, Wallace G, Steven KJ, et al. High hamstring tendinopathy: MRI and ultrasound imaging and therapeutic efficacy of percutaneous corticosteroid injection. Am J Roentgenol. 2010;195(4):993–8.
Lempainen L, Sarimo J, Mattila K, et al. Proximal hamstring tendinopathy: results of surgical management and histopathologic findings. Am J Sports Med. 2009;37(4):727–34.
Chakravarthy J, Ramisetty N, Pimpalnerkar A, et al. Surgical repair of complete proximal hamstring tendon ruptures in water skiers and bull riders: a report of four cases and review of the literature. Br J Sports Med. 2005;39(8):569–72.
Cross MJ, Vandersluis R, Wood D, et al. Surgical repair of chronic complete hamstring tendon rupture in the adult patient. Am J Sports Med. 1998;26(6):785–8.
Cohen S, Bradley J. Acute proximal hamstring rupture. J Am Acad Orthop Surg. 2007;15(6):350–5.
Harris JD, Griesser MJ, Best TM, et al. Treatment of proximal hamstring ruptures – a systematic review. Int J Sports Med. 2011;32(7):490–5.
Puranen J, Orava S. The hamstring syndrome. A new diagnosis of gluteal sciatic pain. Am J Sports Med. 1988;16(5):517–21.
Lempainen L, Sarimo J, Heikkila J, et al. Surgical treatment of partial tears of the proximal origin of the hamstring muscles. Br J Sports Med. 2006;40(8):688–91.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Guanche, C.A. (2019). Hamstring Origin Avulsions and Ischial Tunnel Syndrome. In: Martin, H., Gómez-Hoyos, J. (eds) Posterior Hip Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-78040-5_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-78040-5_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-78038-2
Online ISBN: 978-3-319-78040-5
eBook Packages: MedicineMedicine (R0)