Abstract
There is a continuum of hamstring injuries that can range from musculotendinous strains to avulsion injuries. Although the proximal hamstring complex has a strong bony attachment on the ischial tuberosity, hamstring injuries are common in athletic population and can affect all levels of athletes. Nonoperative treatment is mostly recommended in the setting of low-grade partial tears and insertional tendinosis. However, failure of nonoperative treatment of partial tears may benefit from surgical debridement and repair. The technique presented on this article allows for the endoscopic management of proximal hamstring tears and chronic ischial bursitis, which until now has been managed exclusively with much larger open approaches. The procedure allows for complete exposure of the posterior aspect of the hip in a safe, minimally invasive fashion.
Highlights
Hamstring injuries are common in athletic populations and can affect all levels of athletes [1, 2, 3,4,5,6,7]
There is a continuum of hamstring injuries that can range from musculotendinous strains to avulsion injuries
The proximal hamstring complex has a strong bony attachment on the ischial tuberosity, hamstring injuries are common in athletic population and can affect all levels of athletes
Summary
Hamstring injuries are common in athletic populations and can affect all levels of athletes [1, 2, 3,4,5,6,7]. Failure of nonoperative treatment of partial tears may benefit from surgical debridement and repair. The technique presented on this article allows for the endoscopic management of proximal hamstring tears and chronic ischial bursitis, which until now has been managed exclusively with much larger open approaches. With the exception of the short head of the biceps femoris, the hamstring complex originates from the ischial tuberosity and inserts distally below the knee on the proximal tibia.
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