Pre-operative activity level and a sport or recreation injury mechanism are associated with 2-year clinical outcome after proximal hamstring tendon repair - Scorecard - MDSpire
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Pre-operative activity level and a sport or recreation injury mechanism are associated with 2-year clinical outcome after proximal hamstring tendon repair
Clinical Scorecard: Association of Pre-operative Activity Levels and Mechanisms of Sports or Recreational Injuries with Two-Year Outcomes Following Proximal Hamstring Tendon Repair
At a Glance
Category
Detail
Condition
Acute proximal hamstring tendon rupture
Key Mechanisms
Rupture of proximal hamstring tendon attachment often due to sporting or recreational activities
Target Population
Patients with acute proximal hamstring tears undergoing surgical repair
Care Setting
Orthopaedic surgical and outpatient rehabilitation settings
Key Highlights
Surgical repair within 6 weeks of injury is defined as acute and preferred for better outcomes.
Post-operative clinical outcomes significantly improve from baseline to 2 years after surgery.
Patient demographics, injury mechanism, and post-operative variables influence 2-year outcomes and satisfaction.
Guideline-Based Recommendations
Diagnosis
Confirm proximal hamstring rupture via MRI prior to surgery.
Assess injury timing to classify as acute (<6 weeks) for surgical planning.
Management
Surgical repair using ≥3 anchors in a double-row configuration under general anesthesia.
Post-operative partial weight bearing with crutches for 2 weeks, progressing to full ambulation by 2–4 weeks.
Therapist-led rehabilitation focusing initially on ROM and isometric exercises, progressing to strength and conditioning.
Monitoring & Follow-up
Use patient-reported outcome measures such as Perth Hamstring Assessment Tool (PHAT) and Lower Extremity Functional Scale (LEFS) pre-surgery and at 2 years post-surgery.
Assess patient satisfaction at 2 years using Likert scale questionnaires.
Risks
Persistent pain, reduced strength, and limited sports performance if non-operative management is chosen for certain tear types.
Potential for re-rupture, though low following surgical repair.
Patient & Prescribing Data
Adults with acute proximal hamstring tendon ruptures undergoing surgical repair
Surgical repair shows superior outcomes compared to non-operative management, especially when performed acutely within 6 weeks. Younger age and certain injury mechanisms may predict better functional outcomes.
Clinical Best Practices
Define acute proximal hamstring rupture as injury to surgery interval within 6 weeks for optimal surgical timing.
Employ MRI to confirm diagnosis and assess tear characteristics pre-operatively.
Use standardized PROMs (PHAT, LEFS) and patient satisfaction surveys to monitor outcomes longitudinally.
Implement structured post-operative rehabilitation beginning with protected weight bearing and progressing to strength training under therapist supervision.
Researchers compare personalized versus standard prehabilitation and examine functional, immune, and postoperative outcomes before major elective surgery.
