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Hamstring syndrome

1997; Elsevier BV; Volume: 5; Issue: 3 Linguagem: Inglês

10.1016/s1060-1872(97)80035-4

1557-9794

Sakari Orava,

Tendon Structure and Treatment

Hamstring syndrome is a gluteal sciatic pain, in which posttraumatic or congenital fibrotic hard bands irritate sciatic nerve at the insertion site of hamstring muscles to ischial tuberosity. The tendon-like or scarred bands are located deep to the biceps femoris insertion, on its anterolateral or anterior side. They compress the sciatic nerve while sitting and, especially, when hip joint is flexed with knee extended. Cyclic stress causes a permanent local pain at the ischial tuberosity that radiates down the posterior thigh. Hamstring syndrome can be treated surgically by dividing the compressing bands. The operative technique has some modifications and the incision site is individually selected according to the anatomy and structure of the patient. The main lines for operative treatment are given in this report. The results are usually good, but in the postoperative treatment, long, close follow-up of patients as well as modification of the rehabilitation and training has to be done.