Cic edizioni internazionali
Muscle, Ligaments and Tendons Journal

Operative treatment for the painful posterior thigh after hamstring autograft harvesting

Original Article, 570 - 575
doi: 10.11138/mltj/2017.7.3.570
Tag this article
Abstract
Enhanced HTML Full text PDF
Background: Semitendinosus (ST) is widely used autograft in anterior cruciate ligament reconstructions (ACLR). Although tendon harvesting is a common procedure, some patients exhibit pain, cramping and dysfunctional at posterior thigh after the ACLR. The formation of the newly regenerated neotendon could be compromised by a new injury or too rapid rehabilitation. We present this clinical entity and the developed surgical technique and share our experience in treatment of these patients.
Methods: Ten patients underwent operation where the harvested, retracted and loose muscle (9 ST, 1 gracilis) was reattached again. The delay to the diagnosis and the outcome of the procedure were recorded. Cases were followed and magnetic resonance images (MRI) were included from 2 cases for the demonstration of postoperative healing.
Results: Six ST and the gracilis patients with prolonged symptoms had good results and returned to their normal activity level. Preoperative MRI showed increased signal intensity and edema of the harvested and retracted muscles as the sign of compromised healing of the neotendon. Postoperatively, these MRI findings were resolved.
Conclusions: In high activity level patients with chronic posterior thigh pain and cramping of the harvested muscle, the stabilization procedure of the poorly healed muscle belly could lead to beneficial outcome.
Level of evidence: IV. Case series.

Vol. 8 (No. 4) 2018 October/December

  1. Chondrocalcinosis: a morphofunctional study of crystal deposition in mechanically stressed shoulder soft tissues
    Burini D., Salucci S., Fardetti F., Beccarini A., Calvisi V., Gobbi P., Falcieri E., Curzi D.
    doi: 10.11138/mltj/2018.8.4.465
  2. Functional hyper-extension deficit of the knee and patellar dimple sign in patellofemoral pain syndrome. A preliminary study
    Kaya D., Aksahin E., Doral M.N.
    doi: 10.11138/mltj/2018.8.4.473
  3. The triple F knot: a sliding-locking arthroscopic knot
    Spezia F., Franceschetti E., Franceschi F., Maffulli N., Oliva F.
    doi: 10.11138/mltj/2018.8.4.477
  4. MRI scans do not accurately predict hamstring graft diameter for ACL reconstruction
    Ricci P., Cullen C., Imalingat H., Sergeant J.C., Jain N.
    doi: 10.11138/mltj/2018.8.4.482
  5. Treating Haglund's Deformity with percutaneous Achilles tendon decompression: a case series
    Sergio F., Catani O., Fusini F., Langella F., Cautiero G., Ponzo I., Zanchini F.
    doi: 10.11138/mltj/2018.8.4.488
  6. Structured training volume in early adolescence: a risk factor for femoroacetabular impingement?
    Mullins K., Hanlon M., Carton P.
    doi: 10.11138/mltj/2018.8.4.495
  7. Relationship between anthropometric characteristics and playing position in youth soccer
    Notarnicola A., Maccagnano G., Chierico A., Tafuri S., Moretti B.
    doi: 10.11138/mltj/2018.8.4.502
  8. Posture and scapular dyskinesis in young bowed string instrumental musicians
    Frizziero A., Gasparre G., Corvo S., Gamberini J., Finotti P., Masiero S., Maffulli N.
    doi: 10.11138/mltj/2018.8.4.507
  9. Shoulder external/internal rotation peak torques ratio side-asymmetry, mean work and power ratios balance worsening due to different fatigue resistance of the rotator muscles in male handball players
    Pontaga I.
    doi: 10.11138/mltj/2018.8.4.513
  10. Does TRX training induce similar effects to crossfit? Study on the variation of body fat mass, endurance and explosive force
    Notarnicola A., Salatino G., Napoletano P., Monno A., Moretti B., Tafuri S.
    doi: 10.11138/mltj/2018.8.4.520
  11. The therapeutic effects of manipulation technique on sacroiliac joint dysfunction in young women
    Ashraf V., Shadmehr A., Moghadam B.A., Olyaei G., Reza Hadian M., Khazaeipour Z.
    doi: 10.11138/mltj/2018.8.4.526
  12. Changes of joint position sense in responses to upper trapezius muscle fatigue in subclinical myofascial pain syndrome participants versus healthy control
    Roya M., Gholam Reza O., Azadeh S., Reza H.M., Saeed T.M.
    doi: 10.11138/mltj/2018.8.4.534
  13. Extruded collagen fibres and biphasic collagen sponge for rotator cuff tendon repair application: an ovine in vitro study
    Zafar A., Rushton N.
    doi: 10.11138/mltj/2018.8.4.544
  14. The comparison of dynamic postural control and muscle activity in time domain in athletes with and without chronic ankle instability
    Fereydounnia S., Shadmehr A., Talebian Moghadam S., Olyaei G., Jalaie S., Shiravi Z., Salemi S.
    doi: 10.11138/mltj/2018.8.4.552
Last Viewed articles: la lista degli ultimi x visitati.
  1. Operative treatment for the painful posterior thigh after hamstring autograft harvesting
    Laakso M., Kosola J., Niemi P., Mäkelä K., Ranne J., Orava S., Lempainen L.
    doi: 10.11138/mltj/2017.7.3.570
credits