Surgery better for patients with hamstring injuries vs non-surgical treatment

By Monica Jaramillo

ORLANDO, Fla. — Patients treated surgically for acute proximal hamstring ruptures had better lower extremity function outcomes, as well as a higher chance of returning to pre-injury activities, compared with patients who were treated non-surgically, according to the findings from a study presented here.

Suzanne Laura Miller, MD, and colleagues retrospectively evaluated 25 patients with proximal hamstring ruptures in a case-control study between 2007 and 2013. Fourteen patients were treated surgically, and 11 were treated non-surgically for their injuries. The lower extremity functional score (LEFS) was used to measure primary outcomes. Additionally, the researchers assessed patients using the SF-12 physical and mental component scores, the single-leg hop test, patients’ own strength perception and the patients’ ability to return to activity.

“Our results showed no significant difference for the SF-12 physical and mental scores, perceived strength, there was a trend toward a better LEFS in the operative group,” Miller said during her presentation at the American Orthopaedic Society for Sports Medicine Annual Meeting. “Compared to the contralateral extremity, there was no significant difference in single-leg hop compared to the uninjured leg; however, when comparing between the two groups, there was a significant difference in the single-leg hop.”


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