Recurrent Hamstring Injury: Consideration Following Operative and Non-operative Management.

Authors:  DeWitt J, Vidale T

Hamstring injuries are common at all levels of sport, however recurrence rates are disproportionate compared to other soft tissue injuries associated with sport.  Age and previous injury are supported in the literature as risk factors for hamstring injury; however, debate exists regarding modifiable risk factors.   Restoration of peak torque length using lengthened state eccentrics and core stability interventions appear to reduce incidence of re-injury.  The purpose of this clinical commentary is to review examination techniques and rehabilitation considerations in order to identify important risk factors needed to reduce recurrence after hamstring strain and total rupture. Novel clinical examination techniques both at time of acute injury and prior to return to sport may provide valuable prognostic information.  Restoration of core stability, neuromuscular control and lengthening eccentric hamstring interventions are proposed key components to reduce hamstring re-injury.   

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