Hamstring Strain
Original Editors - Bo Hellinckx
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Definition/Description[edit | edit source]
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Clinically Relevant Anatomy[edit | edit source]
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Epidemiology /Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
At the instant of an injury during sport activities, patients mostly report a sudden sharp pain in the posterior thigh. also a “popping” or tearing impression can be described.[1] The patients may complain of tightness, weakness and impaired range of motion lik knee exteinsion with the hip in a flexed postion. Sometimes swelling and ecchymosis are possible but they may be delayed for several days after the injury occurs[2]. Rarely symptoms are numbness, tingling and distal extremity weakness. These symptoms require a further investigation into a sciatic nerve irritation. Large hematoma or scar tissue can be caused by complete tears and avulsion injuries.[3]
Differential Diagnosis[edit | edit source]
On examening the patient the physiotherapist possibly has to differentiate between: adductor strains, avulsion injury, lumbosacral reffered pain syndrome, piriformis syndrome, sacroiliac dysfunction, sciatica, Hamstring tendinitis and ischial bursitis.[1][4]
Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]
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Clinical Bottom Line[edit | edit source]
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References[edit | edit source]
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- ↑ 1.0 1.1 Bryan C. Heiderscheit, PT, PhD, et al. (2010) Hamstring Strain Injuries: Recommendations for Diagnosis, Rehabilitation, and Injury Prevention. In Journal of Orthopaedic & Sports Physical Therapy Cite error: Invalid
<ref>tag; name "Bryan et al." defined multiple times with different content - ↑ Frontera WR, Silver JK, Rizzo TD Jr (2008) Essentials of physical medicine and rehabilitation. Muskuloskeletal disorders, pain and rehabilitation. Canada: Saunders Elsevier.
- ↑ Frontera WR, Silver JK, Rizzo TD Jr (2008) Essentials of physical medicine and rehabilitation. Muskuloskeletal disorders, pain and rehabilitation. Canada: Saunders Elsevier
- ↑ Starkey C and Johnson G (2006) Athletic training and sport medicine. United States of America: Jones and Barlett publishers.
