• Dr. Domb!

    Thanks a lot for getting my hip right. Looking forward to a full recovery and a great season. Thanks again for everything.

    Corey WoottonChicago Bears and Detroit Lions
  • Thank you for all that you have done for me and the team. My hip feels so much better, and because of you I'm pain free.
    Sylvia Fowles WNBA Finals MVP, 2-time Olympic Gold Medalist
  • Thank you for working your magic! You're the best!
    Zakiya BywatersChicago Red Stars, National Women's Soccer League
  • Thanks for all the love and positive Energy that was put into my surgery. May the Lord bless you and your family.
    Atari BigbyGreen Bay Packers and San Diego Chargers
  • Dr. Domb, Thanks for fixing me up
    Rashied DavisChicago Bears
  • Huge thank you to Dr. Domb for always taking care of me and getting me back on the court in no time!
    Elena Delle DonneChicago Sky, MVP of the WNBA
  • Dr. Domb! Thanks for taking care of the hip! All the best to you and your staff
    Roosevelt ColvinChicago Bears' All-Decade Defense team
  • Thanks doc for fixing my hip!
    Ryan ChiaveriniWindy City Live Co-Host on ABC7
  • Dr. Domb!

    Thanks again for everything

  • Dr. Domb!

    Thanks again for everything

Proximal Hamstring Tear

Proximal Hamstring Tear

The hamstrings are a group of four muscles on the back (posterior) part of the thigh (femur), which are important for hip extension and knee flexion. The four muscles include the semitendinosus, semimembranosus and the long and short head of the biceps femoris. Proximal hamstring tears involve tearing of one or more of the hamstring tendons from their attachment to the ischial tuberosity, located deep in the gluteal fold. Injuries to the hamstring are generally acute in nature; more common in athletes involved in soccer, baseball and gymnastics. Proximal hamstring tears may cause persistent pain located in the gluteal fold or buttock with prolonged sitting. They may also cause weakness and limping. For acute and traumatic injuries, surgery is generally recommended. For chronic hamstring injuries, physical therapy and injections in the ischial tuberosity may provide relief.

In many cases, a torn proximal hamstring can be repaired endoscopically by sewing the torn part of the hamstring tendon back to the bone using tiny suture-anchors. This procedure has a high success rate in treating pain, and restoring strength to the hamstring muscles.

If the tear is too large or too retracted, an open hamstring repair may be undertaken. Similar anchors are used to stabilize the repair or the tendon to the bone.

Recovery

Postoperative recovery for a proximal hamstring repair involves 6 weeks of restricted weight bearing with crutches or an assisted device and 6 weeks in a hip brace. This protects the repair during the early healing phases. Additional bracing may be required depending on the case.

Physical therapy will also be important in he postoperative course to regain strength and condition the hamstring muscles and restore hip function.

Publications by Dr. Domb on Proximal Hamstring Tear

Surgical Video Demostrating a Proximal Hamstring Repair:

Hip Arthroscopy: Endoscopic repair of a proximal hamstring avulsion: