Satisfactory clinical outcome of operative and non-operative treatment of avulsion fracture of the hamstring origin with treatment selection based on extent of displacement: a systematic review
| Autor: | Hijleke J. A. Nauta, Gustaaf Reurink, Gino M. M. J. Kerkhoffs, Anne D. van der Made, Johannes L. Tol |
|---|---|
| Přispěvatelé: | Graduate School, Amsterdam Movement Sciences, Orthopedic Surgery and Sports Medicine, Other Research, AMS - Sports |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Sports medicine medicine.medical_treatment Hamstring Muscles Nonsurgical Avulsion 0302 clinical medicine Surgical Orthopedic Procedures Orthopedics and Sports Medicine 030212 general & internal medicine Conservative 030222 orthopedics Rehabilitation Biceps femoris Operative Fractures Avulsion Treatment Outcome Athletic Injuries Female Adult medicine.medical_specialty Apophyseal Adolescent Intervention Avulsion fracture Young Adult 03 medical and health sciences Ischium Bony avulsion medicine Non-operative Humans Knee Hamstrings business.industry Semimembranosus Ischial tuberosity Semitendinosus Lysholm Knee Score Displacement (psychology) medicine.disease Return to Sport Surgery Apophysis Treatment Harris Hip Score Orthopedic surgery business Hamstring Ischial apophysis |
| Zdroj: | Knee surgery, sports traumatology, arthroscopy, 29(6), 1813-1821. Springer Verlag Knee Surgery, Sports Traumatology, Arthroscopy, 29(6), 1813-1821. Springer Verlag Nauta, H J A, van der Made, A D, Tol, J L, Reurink, G & Kerkhoffs, G M 2021, ' Satisfactory clinical outcome of operative and non-operative treatment of avulsion fracture of the hamstring origin with treatment selection based on extent of displacement: a systematic review ', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 29, no. 6, pp. 1813-1821 . https://doi.org/10.1007/s00167-020-06222-y Knee Surgery, Sports Traumatology, Arthroscopy |
| ISSN: | 0942-2056 |
| DOI: | 10.1007/s00167-020-06222-y |
| Popis: | Purpose To compare outcome of operative and non-operative treatment of avulsion fractures of the hamstring origin, with minor ( 4 weeks) surgery. Methods A systematic literature search was performed using PubMed, Cochrane, Embase, CINAHL and SPORTDiscus. A quality assessment was performed using the Physiotherapy Evidence Database (PEDro) scale. Results Eight studies with 90 patients (mean age: 16 years) were included. All studies had low methodological quality (PEDro score ≤ 5). Operative treatment yielded a return to preinjury activity rate (RTPA) of 87% (95% CI: 68–95), return to sports (RTS) rate of 100% (95% CI: 82–100), Harris hip score (HHS) of 99 (range 96–100) and a University of California Los Angeles activity scale (UCLA) score of 100%. Non-operative treatment yielded a RTPA rate of 100% (95% CI:68–100), RTS rate of 86% (95% CI: 69–94), HHS score of 99 (range 96–100), and non-union rate of 18% (95% CI: 9–34). All patients with minor displacement were treated non-operatively (RTPA: 100% [95% CI: 21–100], RTS: 100% [95% CI: 51–100]). For major displacement, operative treatment led to RTPA and RTS rates of 86% (95% CI: 65–95) and 100% (95% CI: 84–100), and 0% (0/1, 95% CI: 0–79) and 100% (95% CI: 51–100) for non-operative treatment. Early surgery yielded RTPA and RTS rates of 100% (95% CI: 34–100 & 57–100) compared to 100 (95% CI: 72–100) and 90% (95% CI: 60–98) for delayed repair. Conclusion All included studies have high risk of bias. There is only low level of evidence with a limited number of included patients to compare outcome of operative and non-operative treatment. Overall outcome was satisfactory. There is a treatment selection phenomenon based on displacement, with acceptable outcome in both groups. There is insufficient data to draw conclusions regarding timing of surgery. Level of evidence IV |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink