Case ReportsPudendal Neurapraxia After Proximal Hamstring Repair A Case ReportImam, Nareena BA1,a; Grace, Zachary T. BS2; Cherian, Chris MD1,2; Alberta, Frank G. MD1,2; Bassora, Rocco MD1,2 Author Information 1Rothman Orthopaedic Institute, Paramus, New Jersey 2Hackensack Meridian School of Medicine, Nutley, New Jersey aE-mail address for N. Imam: [email protected] Investigation performed at Rothman Orthopaedic Institute, Paramus, NJ Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B999). JBJS Case Connector 12(4):e22.00238, October-December 2022. | DOI: 10.2106/JBJS.CC.22.00238 Buy Metrics Abstract Case: The pudendal nerve lies near the origin of the hamstring muscles, placing it at increased risk of injury during proximal hamstring tendon repair. In this study, we report on a 56-year old man who experienced intermittent unilateral testicular pain after a proximal hamstring tendon repair presumably due to pudendal nerve neurapraxia. At the 1-year follow-up, he continued to experience discomfort in the pudendal nerve distribution but reported significant improvement in symptoms and complete resolution of hamstring pain. Conclusion: Although the risk of pudendal nerve injury during proximal hamstring tendon repair is rare, surgeons should be aware of this potential complication. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated