Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James...

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Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374 November 1, 2008 ©2008 by The Journal of Bone and Joint Surgery, Inc.

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David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Transcript of Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James...

Page 1: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

Avulsion of the Proximal Hamstring Origin

by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater

J Bone Joint Surg AmVolume 90(11):2365-2374

November 1, 2008

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

Coronal proton-density magnetic resonance image showing a Type-1 injury (osseous avulsion of the ischial tuberosity) in a fifteen-year-old boy who had recently sustained a mildly displaced

avulsion fracture of the right ischial tuberosity.

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

Sagittal proton-density magnetic resonance image demonstrating the retracted distal tendon edge (arrow).

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

Coronal fat-suppressed proton-density magnetic resonance image demonstrating a chronic Type-3 injury, with myxoid degeneration and incomplete avulsion at the deep margin of the right

hamstring origin (arrow).

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

Coronal fat-suppressed proton-density magnetic resonance image demonstrating a Type-4 injury (a nonretracted complete tear of the hamstring origin).

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

Coronal fat-suppressed proton-density magnetic resonance image demonstrating an acute Type-5a injury (a retracted complete avulsion of the hamstring origin).

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 11: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

Coronal fat-suppressed proton density magnetic resonance image demonstrating a chronic Type-5b injury (a retracted complete tear of the hamstring origin with sciatic nerve involvement).

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.

Page 12: Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):2365-2374.

Clinical photograph of the clinical deformity, made after a complete hamstring avulsion (a Type-5 injury) with retraction of the tendon ends and prominence of the muscle belly.

David G. Wood et al. J Bone Joint Surg Am 2008;90:2365-2374

©2008 by The Journal of Bone and Joint Surgery, Inc.