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Endoscopic Repair of a Chronic Incomplete Proximal Hamstring Avulsion in a Cheerleader

Lindner, Dror MD*; Trenga, Anthony P. BA*; Stake, Christine E. MA*,†; Jackson, Timothy J. MD*; El Bitar, Youssef F. MD*; Domb, Benjamin G. MD*,†,‡

Clinical Journal of Sport Medicine: January 2014 - Volume 24 - Issue 1 - p 83–86
doi: 10.1097/JSM.0b013e31829611b1
Case Report

Abstract: Injuries to the hamstring muscle are common among athletes, especially strains at the myotendinal junction that respond well to nonoperative treatment. Proximal hamstring avulsion injuries can be severely debilitating, and the role of endoscopic treatment for these injuries has not been explored. This article describes the case report of a 16-year-old girl who was diagnosed with incomplete proximal hamstring avulsion showing no improvement despite extensive nonoperative treatment. The patient was treated by endoscopic repair in the prone position using a novel technique. Her preoperative pain on the ischial tubercle and while sitting disappeared completely 3 months postoperatively.

*American Hip Institute, Chicago, Illinois;

Hinsdale Orthopaedics, Hinsdale, Illinois; and

Department of Orthopaedics, Loyola University Stritch School of Medicine, Chicago, Illinois.

Corresponding Author: Benjamin G. Domb, MD, American Hip Institute, 1010 Executive Court, Suite 250, Westmont, IL 60559 (

The authors report the following potential conflict of interest or source of funding in relation to this article: American Hip Institute; Adventist Hinsdale Hospital; MedWest; and Arthrex, Inc.

Received February 15, 2013

Accepted April 08, 2013

Copyright © 2014 Wolters Kluwer Health, Inc. All rights reserved.