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hamstring tendinopathy

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https://www.readbyqxmd.com/read/28507970/a-new-technique-for-surgical-treatment-of-proximal-hamstring-tendinopathy-in-a-triathlon-athlete
#1
Lincoln Paiva Costa, Antônio Augusto Guimarães Barros, Carlos Cesar Vassalo, Bertrand Sonnery-Cottet, Victor Atsushi Kasuya Barbosa, Eduardo Frois Temponi
INTRODUCTION: Proximal hamstring tendinopathy (PHT) is the result of chronic overload caused by repetitive eccentric contraction. Surgical treatment becomes an option for patients with chronic symptoms that do not respond to conservative treatment. CASE REPORT: This report describes a case of a 48-year-old man, an amateur triathlete, with deep gluteal pain in the left hip for 12 months, leading to a decline in sports performance. Magnetic resonance imaging revealed abnormalities that suggested a PHT...
November 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28498225/rehabilitation-and-prevention-of-proximal-hamstring-tendinopathy
#2
Nicholas R Beatty, Ioonna Félix, Jessica Hettler, Peter J Moley, James F Wyss
Proximal hamstring tendinopathy (PHT) comprises a small but significant portion of hamstring injuries in athletes, especially runners. PHT is a chronic condition that is clinically diagnosed but can be supported with imaging. The main presenting complaint is pain in the lower gluteal or ischial region that may or may not radiate along the hamstrings in the posterior thigh. There is little scientific evidence on which to base the rehabilitation management of PHT. Treatment is almost always conservative, with a focus on activity modification, addressing contributing biomechanical deficiencies, effective tendon loading including eccentric training, and ultrasound-guided interventional procedures which may facilitate rehabilitation...
May 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28355086/presence-of-bacteria-in-spontaneous-achilles-tendon-ruptures
#3
Christer G Rolf, Sai-Chuen Fu, Chelsea Hopkins, Ju Luan, Margaret Ip, Shu-Hang Yung, Göran Friman, Ling Qin, Kai-Ming Chan
BACKGROUND: The structural pathology of Achilles tendon (AT) ruptures resembles tendinopathy, but the causes remain unknown. Recently, a number of diseases were found to be attributed to bacterial infections, resulting in low-grade inflammation and progressive matrix disturbance. The authors speculate that spontaneous AT ruptures may also be influenced by the presence of bacteria. HYPOTHESIS: Bacteria are present in ruptured ATs but not in healthy tendons. STUDY DESIGN: Cross-sectional study; Level of evidence, 3...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28236094/-diseases-and-overuse-injuries-of-the-lower-extremities-in-long-distance-runners
#4
REVIEW
M Tschopp, F Brunner
Running is one of the most popular sports worldwide, with running events attracting hundreds of thousands of runners of all age groups. Running is an effective way to improve health but is also associated with a high risk of injuries. Up to 50% of regular runners report having more than one injury each year. Some injuries are caused by an accident but most are caused by overuse. The most frequent diagnoses are patellofemoral pain syndrome, tibial stress syndrome (shin splint), Achilles tendinopathy, iliotibial band friction syndrome (runner's knee), plantar fasciitis and stress fractures of the metatarsals and tibia...
February 24, 2017: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/28151759/patellar-tendinopathy-and-potential-risk-factors-an-international-database-of-cases-and-controls
#5
Sarah Morton, Sean Williams, Xavier Valle, David Diaz-Cueli, Peter Malliaras, Dylan Morrissey
OBJECTIVES: Numerous risk factors have been identified for patellar tendinopathy (PT), often in small population studies. The aim was to use an international online questionnaire to generate a large database and identify significant risk factors. DESIGN: Case-control study. SETTING: Private practice and sporting teams recruited from England, Spain, and Italy with the questionnaire available in all 3 languages (equivalence between online and self-administration shown previously)...
February 1, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28066748/the-use-of-platelet-rich-plasma-to-augment-conservative-and-surgical-treatment-of-hip-and-pelvic-disorders
#6
REVIEW
Matthew J Kraeutler, Tigran Garabekyan, Omer Mei-Dan
BACKGROUND: In recent years, platelet-rich plasma (PRP) has gained popularity within the orthopaedic community as a treatment modality to enhance tissue healing. PURPOSE: This review aims to concisely present the current indications for PRP injections in the treatment of hip and pelvic pathologies and to describe some novel applications for PRP which have not yet been reported in the literature. METHODS: We reviewed the literature on the non-operative and operative indications for PRP in the treatment of hip and pelvic pathologies...
July 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/27900300/treatment-of-proximal-hamstring-tendinopathy-related-sciatic-nerve-entrapment-presentation-of-an-ultrasound-guided-intratissue-percutaneous-electrolysis-application
#7
Gabriele Mattiussi, Carlos Moreno
BACKGROUND: Proximal Hamstring Tendinopathy-related Sciatic Nerve Entrapment (PHTrSNE) is a neuropathy caused by fibrosis interposed between the semimembranosus tendon and the sciatic nerve, at the level of the ischial tuberosity. METHODS: Ultrasound-guided Intratissue Percutaneous Electrolysis (US-guided EPI) involves galvanic current transfer within the treatment target tissue (fibrosis) via a needle 0.30 to 0.33 mm in diameter. The galvanic current in a saline solution instantly develops the chemical process of electrolysis, which in turn induces electrochemical ablation of fibrosis...
April 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/27857636/posterior-lateral-and-anterior-hip-pain-due-to-musculoskeletal-origin-a-narrative-literature-review-of-history-physical-examination-and-diagnostic-imaging
#8
REVIEW
Patrick J Battaglia, Kevin D'Angelo, Norman W Kettner
OBJECTIVE: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. METHODS: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27790051/astym-therapy-improves-bilateral-hamstring-flexibility-and-achilles-tendinopathy-in-a-child-with-cerebral-palsy-a-retrospective-case-report
#9
Nicole A Scheer, Lucas R Alstat, Robert S Van Zant
PURPOSE: The purpose of this case report was to describe the use of Astym therapy to improve hamstring flexibility and Achilles tendinopathy in a child with cerebral palsy. CASE DESCRIPTION: An eight-year-old female with cerebral palsy was referred to physical therapy for the treatment of bilateral hamstring inflexibility and Achilles tendinopathy. Treatment focused on an Astym therapy protocol of eccentric exercise, stretching, active and passive range of motion, gait training, and a home exercise program...
2016: Clinical Medicine Insights. Case Reports
https://www.readbyqxmd.com/read/27676856/an-injury-prevention-program-is-able-to-reduce-the-number-of-injury-complaints-at-medium-term-in-athletics
#10
Pascal Edouard, Emmanuelle Cugy, Romain Dolin, Nicolas Morel, Kathrin Steffen
OBJECTIVE: The incidence of injuries in athletics is important, with consequences at short and long terms in sport, health, social and professional levels. It is therefore important to define strategies to reduce the incidence and severity of injuries in athletics. The objective of this study was to determine whether an injury prevention program (IPP) can reduce the occurrence and/or severity of injuries related to the practice of athletics. MATERIAL AND METHODS: The IPP has been developed, based on current scientific knowledge, targeting exercises on the most common injuries in athletics (hamstring muscle injury, Achilles and patellar tendinopathy, low back pain, ankle sprain) and selecting exercises known to treat and/or prevent these injuries (care stability, hamstrings and leg eccentric muscle strengthening, pelvis balance and stabilizing work)...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27552452/platelet-rich-plasma-prp-in-orthopedic-sports-medicine
#11
REVIEW
Ryan A Mlynarek, Andrew W Kuhn, Asheesh Bedi
The use of platelet-rich plasma (PRP) injections in the treatment of musculoskeletal conditions has become more prevalent in recent years. Current literature has exhibited that PRP injections are relatively safe and can potentially accelerate or augment the soft tissue healing process. This review presents the most current literature update on the use of PRP in the treatment of rotator cuff tears, osteoarthritis of the knee, ulnar collateral ligament tears, lateral epicondylitis, hamstring injuries, and Achilles tendinopathy...
July 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27492382/the-prevalence-of-proximal-hamstring-pathology-on-mri-in-the-asymptomatic-population
#12
S M Thompson, S Fung, D G Wood
PURPOSE: Injury to the proximal hamstring complex (PHC) is becoming more frequently diagnosed. Patients attending our tertiary referral centre demonstrated 'pathological changes' in the unaffected normal contralateral PHC on MRI. The prevalence of PHC pathology, however, has not been previously documented in the literature in asymptomatic subjects. It is the hypothesis of this study that the natural history of asymptomatic pathological change on MRI in the PHC is not clear. The aim is to quantify the natural history of PHC degeneration...
January 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27325535/lower-limb-strength-and-flexibility-in-athletes-with-and-without-patellar-tendinopathy
#13
Rodrigo Scattone Silva, Theresa H Nakagawa, Ana Luisa G Ferreira, Luccas C Garcia, José E M Santos, Fábio V Serrão
OBJECTIVES: To compare the hip, knee and ankle torques, as well as knee and ankle flexibility between athletes with patellar tendinopathy and asymptomatic controls. DESIGN: Cross-sectional study. SETTING: Laboratory setting. PARTICIPANTS: Fourteen male volleyball, basketball or handball athletes, divided into 2 groups, patellar tendinopathy group (TG; n = 7) and asymptomatic control group (CG; n = 7). MAIN OUTCOME MEASURES: Hip, knee and ankle isometric torques were measured with a handheld dynamometer...
July 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27263531/il-17a-mediates-inflammatory-and-tissue-remodelling-events-in-early-human-tendinopathy
#14
Neal L Millar, Moeed Akbar, Abigail L Campbell, James H Reilly, Shauna C Kerr, Michael McLean, Marina Frleta-Gilchrist, Umberto G Fazzi, William J Leach, Brian P Rooney, Lindsay A N Crowe, George A C Murrell, Iain B McInnes
Increasingly, inflammatory mediators are considered crucial to the onset and perpetuation of tendinopathy. We sought evidence of interleukin 17A (IL-17A) expression in early human tendinopathy and thereafter, explored mechanisms whereby IL-17A mediated inflammation and tissue remodeling in human tenocytes. Torn supraspinatus tendon (established pathology) and matched intact subscapularis tendon (representing 'early pathology') along with control biopsies were collected from patients undergoing shoulder surgery...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27172083/hamstring-injuries-in-the-athlete-diagnosis-treatment-and-return-to-play
#15
REVIEW
Samuel K Chu, Monica E Rho
Hamstring injuries are very common in athletes. Acute hamstring strains can occur with high-speed running or with excessive hamstring lengthening. Athletes with proximal hamstring tendinopathy often do not report a specific inciting event; instead, they develop the pathology from chronic overuse. A thorough history and physical examination is important to determine the appropriate diagnosis and rule out other causes of posterior thigh pain. Conservative management of hamstring strains involves a rehabilitation protocol that gradually increases intensity and range of motion, and progresses to sport-specific and neuromuscular control exercises...
May 2016: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/27084841/proximal-hamstring-tendinopathy-clinical-aspects-of-assessment-and-management
#16
Thomas S H Goom, Peter Malliaras, Michael P Reiman, Craig R Purdam
Synopsis Proximal hamstring tendinopathy (PHT) typically manifests as deep buttock pain at the hamstring common origin. Both athletic and nonathletic populations are affected by PHT. Pain and dysfunction are often long-standing and limit sporting and daily functions. There is limited evidence regarding diagnosis, assessment, and management; for example, there are no randomized controlled trials investigating rehabilitation of PHT. Some of the principles of management established in, for example, Achilles and patellar tendinopathy would appear to apply to PHT but are not as well documented...
June 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27080110/prevalence-and-profile-of-musculoskeletal-injuries-in-ballet-dancers-a-systematic-review-and-meta-analysis
#17
REVIEW
Toby O Smith, Leigh Davies, Akbar de Medici, Allan Hakim, Fares Haddad, Alex Macgregor
AIM: To determine the prevalence of musculoskeletal disorders and anatomical regions which are most frequently injured in ballet dancers. METHODS: Published (AMED, CiNAHL, EMBASE, SPORTDiscus, psycINFO, MEDLINE, the Cochrane Library) and grey literature databases (OpenGrey, the WHO International Clinical Trials Registry Platform, Current Controlled Trials and the UK National Research Register Archive) were searched from their inception to 25th May 2015 for papers presenting data on injury prevalence in ballet dancers...
May 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/26884223/running-retraining-to-treat-lower-limb-injuries-a-mixed-methods-study-of-current-evidence-synthesised-with-expert-opinion
#18
REVIEW
C J Barton, D R Bonanno, J Carr, B S Neal, P Malliaras, A Franklyn-Miller, H B Menz
IMPORTANCE: Running-related injuries are highly prevalent. OBJECTIVE: Synthesise published evidence with international expert opinion on the use of running retraining when treating lower limb injuries. DESIGN: Mixed methods. METHODS: A systematic review of clinical and biomechanical findings related to running retraining interventions were synthesised and combined with semistructured interviews with 16 international experts covering clinical reasoning related to the implementation of running retraining...
May 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/26802949/chronic-achilles-tendon-rupture-reconstructed-using-hamstring-tendon-autograft
#19
Philip Ellison, Lyndon William Mason, Andrew Molloy
BACKGROUND: Chronic rupture of the Achilles tendon (delayed diagnosis of more than 4 weeks) can result in retraction of the tendon and inadequate healing. Direct repair may not be possible and augmentation methods are challenging when the defect exceeds 5-6 cm, especially if the distal stump is grossly tendinopathic. METHODS: We describe our method of Achilles tendon reconstruction with ipsilateral semitendinosis autograft and interference screw fixation in a patient with chronic rupture, a 9 cm defect and gross distal tendinopathy...
March 2016: Foot
https://www.readbyqxmd.com/read/26206832/ultrasound-guided-intratendinous-injections-with-platelet-rich-plasma-or-autologous-whole-blood-for-treatment-of-proximal-hamstring-tendinopathy-a-double-blind-randomized-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Kathleen L Davenport, Jose Santiago Campos, Joseph Nguyen, Gregory Saboeiro, Ronald S Adler, Peter J Moley
OBJECTIVES: To compare the effects of ultrasound-guided platelet-rich plasma (PRP) and whole blood (WB) injections in patients with chronic hamstring tendinopathy. METHODS: In a prospective double-blind randomized controlled trial, PRP or WB was injected under ultrasound guidance into the proximal hamstring tendon in a cohort of patients with clinically suspected hamstring tendinosis. Questionnaires were administered before injection and 2, 6, and 12 weeks and 6 months after injection...
August 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
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