Hamstring origin avulsions and ischial tunnel syndrome

Abstract

The treatment of hip pathology has expanded dramatically in the last decade or so. One of the final areas that have not been thoroughly explored is the posterior aspect of the joint. Specifically, the hamstring origin, with its proximity to the sciatic nerve, is one such region. This chapter discusses the management of hamstring tears (partial and complete) and chronic ischial bursitis. Along with these pathologies, the sciatic nerve is often involved and needs to be considered in the management of these entities. The advent of endoscopic techniques has allowed for complete visualization of the posterior aspect of the hip in a minimally invasive fashion; thus we have been able to more thoroughly determine the etiology of the pathologies in the area as well as improve their treatment.