Rehabilitation einer BAMIC-3c-Verletzung des M. biceps femoris bei einem Ultratrail-Runner

Zusammenfassung

Verletzungen der Hamstrings gehören mit zu den häufigsten Sportverletzungen. Dieses Fallbeispiel zeigt, dass ein nichtoperatives Therapieregime auch bei einer relativ schweren Sehnenverletzung in einem Zeitraum von nur 9 Wochen erfolgreich zum Ziel führen kann.

Publication History

Article published online:
17 April 2025

• Literatur

• 1 Askling CM, Malliaropoulos N, Karlsson J. High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis. Br J Sports Med 2012; 46: 86-87
• 2 Björklund G, Swarén M, Born D-P. et al. Biomechanical adaptations and performance indicators in short trail running. Front Physiol 2019; 10: 506
• 3 Bramah C, Mendiguchia J, Dos’Santos T. et al. Exploring the role of sprint biomechanics in hamstring strain injuries: A current opinion on existing concepts and evidence. Sports Med Auckl Nz 2024; 54: 783-793
• 4 Brukner P, Cook JL, Purdam CR. Does the intramuscular tendon act like a free tendon?. Br J Sports Med 2018; 52: 1227-1228
• 5 Evangelidis PE, Shan X, Otsuka S. et al. Fatigue-induced changes in hamstrings’ active muscle stiffness: Effect of contraction type and implications for strain injuries. Eur J Appl Physiol 2023; 123: 833-846
• 6 Green B, Bourne MN, Van Dyk N. et al. Recalibrating the risk of hamstring strain injury (HSI): A 2020 systematic review and meta-analysis of risk factors for index and recurrent hamstring strain injury in sport. Br J Sports Med 2020; 54: 1081-1088
• 7 James R, Kesturu G, Balian G. et al. Tendon: Biology, biomechanics, repair, growth factors, and evolving treatment options. J Hand Surg 2008; 33: 102-112
• 8 Kerin F, O’Flanagan S, Coyle J. et al. Intramuscular tendon injuries of the hamstring muscles: A more severe variant? A narrative review. Sports Med – Open 2023; 9: 75
• 9 Lempainen L, Kosola J, Pruna R. et al. Central tendon injuries of hamstring muscles: Case series of operative treatment. Orthop J Sports Med 2018; 6: 2325967118755992
• 10 Macdonald B, McAleer S, Kelly S. et al. Hamstring rehabilitation in elite track and field athletes: Applying the British Athletics Muscle Injury Classification in clinical practice. Br J Sports Med 2019; 53: 1464-1473
• 11 Malliaropoulos N, Mertyri D, Tsaklis P. Prevalence of injury in ultra trail running. Hum Mov 2018; 16: 55-59
• 12 Mendiguchia J, Martinez-Ruiz E, Edouard P. et al. A multifactorial, criteria-based progressive algorithm for hamstring injury treatment. Med Sci Sports Exerc 2017; 49: 1482-1492
• 13 Pollock N, James SLJ, Lee JC. et al. British athletics muscle injury classification: A new grading system. Br J Sports Med 2014; 48: 1347-1351
• 14 Schache AG, Dorn TW, Williams GP. et al. Lower-limb muscular strategies for increasing running speed. J Orthop Sports Phys Ther 2014; 44: 813-824
• 15 Viljoen C, Janse Van Rensburg DC (Christa), Van Mechelen W. et al. Trail running injury risk factors: A living systematic review. Br J Sports Med 2022; 56: 577-587