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Outcome Measures After Proximal Hamstring Repair: A Systematic Review

Tara Reza, MPH, UNITED STATES Andre Gordon Perez-Chaumont, BS, UNITED STATES Andrew J Hinkle, BS, UNITED STATES Symone M Brown, MPH, UNITED STATES Mary K. Mulcahey, MD, UNITED STATES

Tulane University School of Medicine, New Orleans, Louisiana, UNITED STATES

2021 Congress ePoster Presentation Not yet rated

Anatomic Location

Hip / Groin / Thigh

Diagnosis / Condition

Posterior Pain

Treatment / Technique

Repair / Reconstruction

Sports Medicine

Practice Management Rehabilition / Physical Therapy

This media is available to current ISAKOS Members, Global Link All-Access Subscribers and Webinar/Course Registrants only.

Summary: This systematic review sought to identify and evaluate outcome measures used for proximal hamstring injuries, and found that there is currently no consensus on the best measurements in the evaluation of patients after this procedure; however, authors recommend an increased commitment to the use of Return to Sport, isokinetic strength testing, LEFS and PHAT in the evaluation of such injuries.

Introduction

Patient reported outcome measures are important to determine outcomes following orthopaedic procedures. There is currently no standard for outcome measures in the evaluation of patient outcomes following proximal hamstring repair. The purpose of this systematic review was to identify and evaluate outcome measures used for proximal hamstring injuries.

Methods

A systematic review was performed to identify all English-language articles assessing outcomes following proximal hamstring repair in PubMED, EMBASE, CINAHL via EBSCOhost, MEDLINE via OvidSP and Web of Science from 2000 to 2019. After duplicates were removed, studies were selected using eligibility criteria established by the authors. Image reviews, anatomic/histology studies, literature reviews, surgical technique reports, systematic reviews, narrative reviews, case studies, and studies with less than 5 patients were excluded. Extraction, synthesis, and analysis of outcome measure data were performed using Microsoft Excel. Quality assessment of included studies was performed using Methodological Index for Non-randomized Studies (MINORS) criteria.

Results

304 unique articles were identified and 27 met the inclusion criteria. The average number of proximal hamstring injuries per study was 40. Thirty different outcome measures were used. The most frequently reported outcome measures were Return to Sport (14/27, 51.9%), Custom Survey/Questionnaire (13/27, 48.2%), and Isokinetic Strength Testing (13/27, 48.2%). Six of the ten most commonly used outcome measures were validated, including Lower Extremity Functional Scale (LEF), Short-Form 12 (SF-12), Visual Analog Scale (VAS), Perth Hamstring Assessment Tool (PHAT), Single Assessment Numerical Evaluation (SANE) and Tegner Activity Scale (TAS). Of those, the Perth Hamstring Assessment Tool (PHAT) was the only validated outcome measure specifically designed for proximal hamstring repair. When comparing articles in journals with an impact factor <3 to those with an impact factor =3, there was a statistically significant difference between the average number of outcome scores (2.60 to 4.55, respectively; p=.01).

Conclusion

There is currently no consensus on the best outcome measurements in the evaluation of patients after proximal hamstring repair. We recommend an increased commitment to the use of Return to Sport, isokinetic strength testing, LEFS and PHAT in the evaluation of such injuries. Future studies should aim to define the most reliable methods in evaluation of these patients through consistent use of outcome measurements that are clinically relevant, important to patients and can easily be employed in a variety of clinical scenarios.

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Use Of Preoperative Magnetic Resonance Imaging To Predict Clinical Outcomes Following Core Muscle Injury Repair ePoster Presentation Matthew J. Kraeutler, MD, UNITED STATES Jennifer Kurowicki, MD, UNITED STATES Iciar M Davila Castrodad, MD, UNITED STATES Edward Milman, MD, UNITED STATES Toghrul Talishinskiy, MD, UNITED STATES Anthony Scillia, UNITED STATES
Clinical Predictors of Outcome Following Proximal Hamstring Tendon Repair ePoster Presentation Heath Patrick Gould, MD, UNITED STATES William Rate, MS, MD, UNITED STATES Matthew Civilette, MD, UNITED STATES John Hamilton, MD, UNITED STATES James Dreese, MD, UNITED STATES
Snapping Hip Syndrome : An Uncommon Cause of Hip Pain ePoster Presentation Pollyanna Christine Ferreira Frazão, MD, PORTUGAL Rui Cardoso, MD, PORTUGAL Daniela Roque, MD, PORTUGAL Diogo Rocha Carvalho, Md, MsD, PORTUGAL André Santos, MD, PORTUGAL Sérgio Pita, MD, PORTUGAL Filipe Sá Malheiro, MD, PORTUGAL Tiago Pato, PORTUGAL Carlos Filipe Gonçalves João, MD, PORTUGAL Carlos Almeida, PORTUGAL
Surgical Treatment of High-Grade Acute Intramuscular Hamstring Tendon Injuries in Athletes ePoster Presentation Randeep Singh Aujla, MBChB ChM FRCS (Tr&Orth) MFSEM, UNITED KINGDOM Steven Cecchi, BSc (Hons), MBBS, AUSTRALIA Peter Alberto D'Alessandro, MBBS Hons. (UWA) FRACS FAOrthA, AUSTRALIA Peter T. Annear, FRACS(Orth), AUSTRALIA
Midterm Outcomes Following Hip Labral Augmentation Abstract Presentation 4 minutes Joseph J. Ruzbarsky, MD, UNITED STATES Rui Soares, BS, UNITED STATES Justin W. Arner, MD, UNITED STATES Lauren Pierpoint, PhD, UNITED STATES Maitland Martin, BS, UNITED STATES Spencer M Comfort, BS, UNITED STATES Marc J. Philippon, MD, UNITED STATES
Mid-Term Outcome and Strength Assessment after Proximal Rectus-Femoris-Refixation in Athletes ePoster Presentation Maximilian Hinz, MD, GERMANY Stephanie Geyer, MD, GERMANY Felix Winden, Cand Med, GERMANY Alexander Braunsperger, B.Sc., GERMANY Florian Kreuzpointner, PhD, GERMANY Benjamin Daniel Kleim, MBBS, MD, MRes, GERMANY Andreas B. Imhoff, MD, Prof. Emeritus, GERMANY Julian Mehl, MD, GERMANY
Covid Mortality Among Neck Of Femur Fractures During The Pandemic 2019 Abstract Presentation 5 minutes Aashish Raghu, MBBS, MS, MRCS, FRCS (Tr & Orth), UNITED KINGDOM Anas Hassan, MBBS, MRCS, UNITED KINGDOM Nicholas Dr Roeck, MB ChB, FRCS (ENG), FRCS (Tr&Orth), UNITED KINGDOM Mohamed Antar, MBBS, Master of Orthopaedics, MRCS, UNITED KINGDOM
Midterm Outcomes After Arthroscopic Hip Capsular Reconstruction Using Iliotibial Band Allograft Abstract Presentation 4 minutes Joseph J. Ruzbarsky, MD, UNITED STATES Max Seiter, MD, UNITED STATES Rui Soares, BS, UNITED STATES Lauren Pierpoint, PhD, UNITED STATES Karen K. Briggs, MPH, MBS, UNITED STATES Marc J. Philippon, MD, UNITED STATES
Outcomes of Associated Both Column Acetabular Fractures with and without a Posterior Wall Fracture ePoster Presentation George Bradley Reahl, MS, UNITED STATES Michael McTague, MPH, UNITED STATES Nishant Suneja, MD, UNITED STATES Arvind Von Keudell, MD, UNITED STATES
Can Intra-Articular Gadolinium Confound The Results Of A Diagnostic Anesthetic Injection In Young Patients With Hip Pain? Abstract Presentation 5 minutes Daniel Curtis, MD, UNITED STATES William Michael Pullen, MD, UNITED STATES Christopher Jamero, MA, ATC, UNITED STATES Marc R. Safran, MD, Prof., UNITED STATES
Endoscopic Iliotibial Band Release During Hip Arthroscopy For Femoroacetabular Impingement Syndrome And External Snapping Hip Had Better Patient-Reported Outcomes: A Retrospective Comparative Study Abstract Presentation 5 minutes 春宝李, 医学博士，博士, CHINA Shanxing Zhang, MD, CHINA
Evaluation of endoscopically gluteus medius repair in patients with Femoro-acetabular impingement and labrum detachment ePoster Presentation George D. Tsikouris, MD, GREECE Nikolaos D. Gravvanis, MD, GREECE Georgia S. Dedousi, MD, GREECE Panagiota Vlaserou, BSc in Physiotherapy, MSc Biomedical Engineer, GREECE Fanis P. Papadakis, BSc, MSc(cand.), GREECE Ioannis K. Antonopoulos, GREECE Vassilis N. Psychoyios, MD, GREECE Theodoros G. Troupis, Prof, GREECE
Solving Social Inequality In Surgical Outcomes By Combining Standardized Treatment And Individualized Patient Education ePoster Presentation Benjamin Saks, MD, UNITED STATES Vivian Ouyang, BS, UNITED STATES Andrew Jimenez, MD, UNITED STATES Ajay C. Lall, MD, MS, FAAOS, UNITED STATES Benjamin G. Domb, MD, UNITED STATES
No Association Between Intrauterine Contraceptive Devices and Musculoskeletal Hip Joint Pain Abstract Presentation 5 minutes Nathan Varady, MD, MBA, UNITED STATES Paul F Abraham, BS, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Christopher T Eberlin, BS, UNITED STATES David Freccero, MD, UNITED STATES Eric L. Smith, MD, UNITED STATES Scott D Martin, MD, UNITED STATES
Promis Validation In Hip Arthroscopy: A Shift Towards Reducing Survey Burden Abstract Presentation 4 minutes Erik Gerlach, MD, UNITED STATES Ryan S. Selley, MD, UNITED STATES Daniel Johnson, MD, UNITED STATES Richard W. Nicolay, MD, UNITED STATES Gregory Versteeg, MD, UNITED STATES Mark Andrew Plantz, BS, UNITED STATES Peter Swiatek, MD, UNITED STATES Eric Sanders, MD, UNITED STATES Bejan Alvandi, MD, UNITED STATES Vehniah K. Tjong, MD, FRCSC, UNITED STATES Michael Terry, MD, UNITED STATES
Hip Arthroscopy in Patients with Borderline Dysplasia. ePoster Presentation Leonel Perez Alamino, MD, ARGENTINA Daniel Fernando Veloz Serrano, Md, ARGENTINA Agustin Felipe Catan, MD, ARGENTINA Tomas Rafael Vilaseca, MD, ARGENTINA
Not Every Hip Impingement Requires Hip Arthroscopy. Abstract Presentation 5 minutes Vitali Goriainov, FRCS (Orth), BM, PhD, MSc, UNITED KINGDOM Mohamed Zubair Farook, MBBS, D.Ortho, FRCS (Orth), UNITED KINGDOM Rajiv Kaila, MRCS, MSc, MFSEM(UK), FEBOT, UNITED KINGDOM Tom CB Pollard, MD, FRCS (Tr & Orth), UNITED KINGDOM Antonio J. M. D. Andrade, MB BS, M.Sc., FRCS(Tr&Orth), UNITED KINGDOM

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Outcome Measures After Proximal Hamstring Repair: A Systematic Review

Outcome Measures After Proximal Hamstring Repair: A Systematic Review

Introduction

Methods

Results

Conclusion

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Outcome Measures After Proximal Hamstring Repair: A Systematic Review

Outcome Measures After Proximal Hamstring Repair: A Systematic Review

Introduction

Methods

Results

Conclusion

More ISAKOS 2021: Global Content