Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11): November 1, 2008 ©2008 by The Journal of Bone and Joint Surgery, Inc.
Coronal proton-density magnetic resonance image showing a Type-1 injury (osseous avulsion of the ischial tuberosity) in a fifteen-year-old boy who had recently sustained a mildly displaced avulsion fracture of the right ischial tuberosity. David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
Sagittal proton-density magnetic resonance image demonstrating the retracted distal tendon edge (arrow). David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
Coronal fat-suppressed proton-density magnetic resonance image demonstrating a chronic Type-3 injury, with myxoid degeneration and incomplete avulsion at the deep margin of the right hamstring origin (arrow). David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
Coronal fat-suppressed proton-density magnetic resonance image demonstrating a Type-4 injury (a nonretracted complete tear of the hamstring origin). David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
Coronal fat-suppressed proton-density magnetic resonance image demonstrating an acute Type- 5a injury (a retracted complete avulsion of the hamstring origin). David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
Coronal fat-suppressed proton density magnetic resonance image demonstrating a chronic Type-5b injury (a retracted complete tear of the hamstring origin with sciatic nerve involvement). David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.
Clinical photograph of the clinical deformity, made after a complete hamstring avulsion (a Type-5 injury) with retraction of the tendon ends and prominence of the muscle belly. David G. Wood et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.