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(English) Episode 10-Reliable MRI Assessment for Hamstring Tendon Injuries
Proximal full-thickness free hamstring tendon injury (ie, tendon avulsion or rupture) is a severe injury.
Treatment decision making relies on clinical factors and magnetic resonance imaging (MRI) variables; it specifically relies on which tendons are injured as well as the extent of tendon retraction.
According to a worldwide evaluation of current practice, discontinuity of both proximal tendons and retraction of > 2 cm are used as surgical indications.
However, both the diagnosis and the use of MRI variables in decision making may be fraught with uncertainty in clinical practice.
A reliable standardized MRI assessment is required.
(van der Made AD, Smithuis FF, Buckens CF, Tol JL, Six WR, Lauf K, et al. Good interrater reliability for standardized MRI assessment of tendon discontinuity and tendon retraction in acute proximal full-thickness hamstring tendon injury. Am J Sports Med [Internet]. 2021;49(9):2475–81. Available from: http://dx.doi.org/10.1177/03635465211021612)
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By ArthromainpodProximal full-thickness free hamstring tendon injury (ie, tendon avulsion or rupture) is a severe injury.
Treatment decision making relies on clinical factors and magnetic resonance imaging (MRI) variables; it specifically relies on which tendons are injured as well as the extent of tendon retraction.
According to a worldwide evaluation of current practice, discontinuity of both proximal tendons and retraction of > 2 cm are used as surgical indications.
However, both the diagnosis and the use of MRI variables in decision making may be fraught with uncertainty in clinical practice.
A reliable standardized MRI assessment is required.
(van der Made AD, Smithuis FF, Buckens CF, Tol JL, Six WR, Lauf K, et al. Good interrater reliability for standardized MRI assessment of tendon discontinuity and tendon retraction in acute proximal full-thickness hamstring tendon injury. Am J Sports Med [Internet]. 2021;49(9):2475–81. Available from: http://dx.doi.org/10.1177/03635465211021612)