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Chapter 36 Video 7: Hamstring Anatomy and Accute Hamstring Repair

January 05, 2018

Contributors: Carlos Guanche, MD

This video demonstrates an arthroscopic view of hamstring anatomy, as well as the repair of chronic bursitis, a partial tear, and a full thickness avulsion. The common biceps/semitendinosus origin is demonstrated, and the sciatic nerve is identified. In the case of bursitis, the tendon can be elevated, the area debrided down to bleeding bone, and the hamstring reapproximated. With a partial tear, the area is delineated and tendinopathy is identified, debrided, and the hamstring reapproximated. The repair of a full thickness avulsion of a 32 year-old runner with a slip and fall injury is next demonstrated. The advantage of repairing the tear arthroscopically versus open is the ability to identify and protect the sciatic nerve. The tear is repaired with two double- or triple-loaded anchor sutures. It is important to reapproximate the hamstring laterally and not on the tip of the ischium, as this can result in pain when sitting.

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