Total proximal hamstring ruptures: clinical and MRI aspects including guidelines for postoperative rehabilitation

Knee Surg Sports Traumatol Arthrosc. 2013 Mar;21(3):515-33. doi: 10.1007/s00167-012-2311-0. Epub 2012 Dec 11.


The aim of this article is to provide a state-of-the-art review for treatment of acute, total proximal hamstring tendon ruptures. For total proximal hamstring tendon ruptures, early (<2-3 w) surgical refixation minimizes muscle atrophy and facilitates a somewhat predictable time course for healing and rehabilitation. A postoperative rehabilitation program is detailed that has been used by one physical therapist for the past 7 years on over 200 patients with surgical repair for total proximal hamstring tendon rupture. One re-rupture has occurred, 7 months after surgery, following the rehabilitation program described herein. The rehabilitation program, including avoidance of postoperative bracing, appears effective for total proximal hamstring ruptures. Early surgery together with a specific rehabilitation program appears to be the treatment of choice for timely and safe return to sport and an active lifestyle. Level of evidence V.

Publication types

  • Review

MeSH terms

  • Guidelines as Topic
  • Humans
  • Leg Injuries / rehabilitation*
  • Leg Injuries / surgery
  • Magnetic Resonance Imaging
  • Rupture
  • Tendon Injuries / diagnosis*
  • Tendon Injuries / rehabilitation*
  • Tendon Injuries / surgery
  • Thigh / injuries*