New study has revealed that hamstring rupture surgery allows return to sports earlier than conservative methods.
Researchers say that surgical hamstring rupture surgery offers the most promise for individuals who are willing to return to high or full activity levels of sport.
In hamstring detachment may cause a pop in the buttock area which is followed by bruising over the posterior thigh and knee.
The usual treatment offered is rest and rehabilitation exercises but that may result in
- Persistent weakness
- Poor leg control
- Difficulty returning to higher levels of activity.
Dr Larson, of the Minnesota Sports Medicine Orthopaedic Sports Medicine Fellowship, Eden Prairie, published a report in the American Journal of Sports Medicine where he and colleagues described outcomes for 12 men and 14 women ranging from 16 to 58 years old who had surgery between 2002 and 2005 to repair hamstring ruptures.
They repaired the 21 acute ruptures within 4 weeks of injury. In the 5 chronic injuries, reconstruction occurred from 4 to 116 months after injury, and involved a new technique that used an Achilles tendon from a non-identical human donor to complete the hamstring reconstruction.
Five of the 26 patients were high-level recreational athletes, 2 were elite athletes, and the remaining participated at least weekly in jogging, cycling, weight training, aerobics, yoga, or rollerblading.
At about 20 months post surgery, 96 percent of the patients said reported good leg control and eighty percent reported no pain.
In the acute group, 45 percent reported a full recovery, and 75 percent were able to return to sporting activities. The 5 patients unable to resume sports cited the hamstring injury as the cause. One patient was lost to follow up.
In the chronic group, 60 percent reported full recovery with no restricted activity, while the others resumed activities with limitations.
Superficial wound infections occurred in 5 patients and 3 patients each suffered re-rupture due to a fall, a deep infection requiring operative irrigation, and chronic pain and muscle spasm.
The investigators conclude that surgery for acute or chronic hamstring rupture results in a fairly reliable return to function for recreationally active adults.
Source:Medline Plus via Reuter’s Health, American Journal of Sports Medicine, January 2008
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