Operative Techniques in Sports Medicine
Volume 17, Issue 4 , Pages 225-228 , October 2009

Proximal Hamstring Tendinopathy—Overview of the Problem With Emphasis on the Surgical Treatment

  • Lasse Lempainen, MD, PhD

      Affiliations

    • Mehiläinen Sports Trauma Research Center, Mehiläinen Hospital and Sports Clinic, Turku, Finland
    • Department of Orthopaedic Surgery and Traumatology, Turku University Hospital and University of Turku, Turku, Finland
    • Paavo Nurmi Center, Sports and Exercise Medicine Unit, Department of Physiology, University of Turku, Turku, Finland
    • Corresponding Author InformationAddress reprint requests to Dr Lasse Lempainen, MD, PhD, Department of Orthopaedic Surgery and Traumatology, Turku University Hospital, PL 52, FIN-20521 Turku, Finland
    • ,
  • Janne Sarimo, MD, PhD

      Affiliations

    • Mehiläinen Sports Trauma Research Center, Mehiläinen Hospital and Sports Clinic, Turku, Finland
    • Paavo Nurmi Center, Sports and Exercise Medicine Unit, Department of Physiology, University of Turku, Turku, Finland
    • ,
  • Kimmo Mattila, MD, PhD

      Affiliations

    • Paavo Nurmi Center, Sports and Exercise Medicine Unit, Department of Physiology, University of Turku, Turku, Finland
    • Medical Imaging Centre of Southwest Finland, Turku University Hospital and University of Turku, Turku, Finland
    • ,
  • Sakari Orava, MD, PhD

      Affiliations

    • Mehiläinen Sports Trauma Research Center, Mehiläinen Hospital and Sports Clinic, Turku, Finland
    • Paavo Nurmi Center, Sports and Exercise Medicine Unit, Department of Physiology, University of Turku, Turku, Finland

References 

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  2. Warden SJ. Animal models for the study of tendinopathy. Br J Sports Med. 2007;41:232–240
  3. Lian ØB, Engebretsen L, Bahr R. Prevalence of jumper's knee among elite athletes from different sports: A cross-sectional study. Am J Sports Med. 2005;33:561–567
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  5. Migliorini S, Merlo M, Pricca P. The hamstring syndrome (Clinical and diagnostic features, etiology, and surgical management). J Sports Traumatol Rel Res. 2000;22:86–92
  6. Fredericson M, Moore W, Guillet M, et al. High hamstring tendinopathy in runners (Meeting the challenges of diagnosis, treatment, and rehabilitation [review]). Phys Sportsmed. 2005;33:32–43
  7. Lempainen L, Sarimo J, Mattila K, et al. Proximal hamstring tendinopathy—Results of surgical management and histopathological findings. Am J Sports Med. 2009;37:727–734
  8. De Paulis F, Cacchio A, Michelini O, et al. Sports injuries in the pelvis and hip: Diagnostic imaging. Eur J Radiol. 1998;27:S49–S59
  9. Koulouris G, Connell D. Hamstring muscle complex: An imaging review. Radiographics. 2005;25:571–586
  10. In:  Brukner P,  Khan K editor. Clinical Sports Medicine. (ed 3). Australia: McGraw-Hill; 2007;
  11. Orava S. Hamstring syndrome. Oper Tech Sports Med. 1997;5:143–149
  12. Bencardino JT, Mellado JM. Hamstring injuries of the hip. Magn Reson Imaging Clin N Am. 2005;13:677–690
  13. Hancock CR, Sanders TG, Zlatkin MB, et al. Flexor femoris muscle complex: Grading systems used to describe the complete spectrum of injury. Clin Imaging. 2009;33:130–135
  14. Alfredson H, Cook J. A treatment algorithm for managing Achilles tendinopathy: New treatment options [review]. Br J Sports Med. 2007;41:211–216
  15. Paavola M, Kannus P, Paakkala T, et al. Long-term prognosis of patients with Achilles tendinopathy (An observational 8-year follow-up study). Am J Sports Med. 2000;28:634–642
  16. Peers KH, Lysens RJ. Patellar tendinopathy in athletes: Current diagnostic and therapeutic recommendations [review]. Sports Med. 2005;35:71–87
  17. 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 Am. 2007;89:44–48
  18. Khan KM, Cook JL, Maffulli N, et al. Where is the pain coming from in tendinopathy? (It may be biochemical, not only structural, in origin). Br J Sports Med. 2000;34:81–83

PII: S1060-1872(09)00172-5

doi: 10.1053/j.otsm.2009.12.016

Operative Techniques in Sports Medicine
Volume 17, Issue 4 , Pages 225-228 , October 2009

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