A New Technique for Surgical Treatment of Proximal Hamstring Tendinopathy in a Triathlon Athlete.

Autor: Costa LP; Department of Orthopaedics, Hospital Madre Teresa, Belo Horizonte, Minas Gerais, Brazil., Barros AAG; Department of Orthopaedics, Hospital Madre Teresa, Belo Horizonte, Minas Gerais, Brazil., Vassalo CC; Department of Orthopaedics, Hospital Madre Teresa, Belo Horizonte, Minas Gerais, Brazil., Sonnery-Cottet B; Department of Orthopaedics, Hospital Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, FIFA Medical Center of Excellence, Lyon, France., Barbosa VAK; Department of Orthopaedics, Hospital Madre Teresa, Belo Horizonte, Minas Gerais, Brazil., Temponi EF; Department of Orthopaedics, Hospital Madre Teresa, Belo Horizonte, Minas Gerais, Brazil.
Jazyk: angličtina
Zdroj: Journal of orthopaedic case reports [J Orthop Case Rep] 2016 Nov-Dec; Vol. 6 (5), pp. 69-72.
DOI: 10.13107/jocr.2250-0685.638
Abstrakt: Introduction: Proximal hamstring tendinopathy (PHT) is the result of chronic overload caused by repetitive eccentric contraction. Surgical treatment becomes an option for patients with chronic symptoms that do not respond to conservative treatment.
Case Report: This report describes a case of a 48-year-old man, an amateur triathlete, with deep gluteal pain in the left hip for 12 months, leading to a decline in sports performance. Magnetic resonance imaging revealed abnormalities that suggested a PHT. Surgery was indicated following the failure of conservative treatments. Debridement of the conjoint tendon and its reinsertion associated with semimembranosus tenotomy showed good results and is thus an option for the treatment of this pathology after 12 months of follow-up.
Conclusion: This article provides surgeons with a new surgical option for this debilitating condition with clinical and functional improvement after 12 months of follow-up.
Competing Interests: Conflict of Interest: Nil
Databáze: MEDLINE