Document Type


Publication Date

June 2007


This article has been peer reviewed. It is the authors' final version prior to publication in the Journal of the American Academy of Orthopaedic Surgeons 15(6):350-5, June 2007. The published version is available at Copyright © 2007 by The American Academy of Orthopaedic Surgeons, all rights reserved.


Hamstring strain is common in athletes, and both diagnosis and surgical treatment of this injury are becoming more common. Nonsurgical treatment of complete ruptures has resulted in complications such as muscle weakness and sciatic neuralgia. Surgical treatment recently has been advocated to repair the complete rupture of the hamstring tendons from the ischial tuberosity. Surgical repair involves a transverse incision in the gluteal crease, protection of the sciatic nerve, mobilization of the ruptured tendons, and repair to the ischial tuberosity with the use of suture anchors. Reports in the literature of surgical treatment of proximal hamstring rupture are few, and most series have had a relatively small number of patients. Surgical repair results project 58% to 85% rate of return to function and sports activity, near normal strength, and decreased pain.

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