Is surgery always necessary for a proximal hamstring avulsion from the ischial tuberosity?

Doctor’s answer

It requires individualized assessment. A randomized trial involving patients aged 30-70 showed that structured non-surgical treatment was not inferior to surgery in terms of two-year functional outcomes. This result may not directly apply to all competitive athletes; decisions should consider the extent of avulsion, retraction, functional loss, and athletic goals.

This content is for education. Diagnosis, treatment, and rehabilitation require an individual assessment by a sports medicine specialist.