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.

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






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







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).



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



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



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).



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.



Documents

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