SonoSim
(855) 873-7666 Login
en English
enعربى zh-CN 中文 cs Czech de Deutsche en English es Español ru Français it Italiano ja 日本語 pl Polskie pt Português ru Русский
  • Home
  • Store
  • Our Solution
    • Our Ultrasound Training
    • The SonoSimulator®
    • Comparison Guide
    • Content Choices
    • Learning Benefits
  • Who We Train
  • For Groups
    • Group Ultrasound Training
    • SonoSim LiveScan®
    • SonoSim LiveScan CaseBuilder Feature
    • Performance Tracker
  • Company
    • About Us
    • Careers
    • Blog
    • International
    • Our Partners
  • Our Clients
    • Client List
    • Case Studies
    • Testimonials
  • Support
  • Contact
  • Languages
    • en English
      enعربى zh-CN 中文 cs Czech de Deutsche en English es Español ru Français it Italiano ja 日本語 pl Polskie pt Português ru Русский

Point-of-Care Ultrasound Diagnosis of Proximal Hamstring Rupture

Posted in: Clinical Studies, Point-of-Care, Ultrasound Literature|November 20, 2018
Share Button

SONOSIM SUMMARY: This case report examines how point-of-care ultrasound (POCUS) in the emergency department may be used to identify proximal hamstring ruptures, a diagnosis that can be easily overlooked on initial presentation. Delayed diagnosis of proximal hamstring rupture often leads to a more difficult surgical repair and a higher risk of complications. This case report exemplifies how the use of POCUS for suspected hamstring ruptures in the emergency deparmtnet may expedite surgical intervention and improve patient outcomes.

Bengtzen RR, Ma OJ, Herzka A. Point-of-care ultrasound diagnosis of proximal hamstring rupture. J Emerg Med. 2018 Feb;54(2):225-228.

Abstract
Background
Acute proximal hamstring ruptures can be a diagnostic challenge in the emergency department. The revealing sign of large posterior thigh ecchymosis is typically not yet present; the physical examination is limited due to pain, radiographs can be unremarkable, and definitive testing with magnetic resonance imaging is not practical. These avulsions are often misdiagnosed as hamstring strains and treated conservatively. The diagnosis is made after failed treatment, often months after the injury. Surgical repair at that time can be technically challenging and higher risk due to tendon retraction and adhesion of the tendon stump to the sciatic nerve.

Case Report
The first case illustrates an example of how delay in diagnosis can occur in both emergency medicine and outpatient primary care settings. It also shows complications and morbidity potential for patients who warrant and do not receive timely surgical repair. The second case illustrates physical examination findings obtainable during the acute setting, and the use of point-of-care ultrasound (POCUS) in facilitating an expedited diagnosis and treatment plan.

Why Should an Emergency Physician Be Aware of This?
Timely diagnosis of hamstring rupture is paramount to optimize patient outcomes for this serious injury. The best results are obtained with surgical repair within 3-6 weeks of injury. POCUS evaluation can aid significantly in the timely diagnosis of this injury. If the POCUS examination raises clinical concern for a proximal hamstring rupture, this may allow for earlier diagnosis and definitive treatment of proximal hamstring rupture.

To read the article, visit the Journal of Emergency Medicine.

SonoSim Keywords: Ultrasound Education, Proximal Hamstring Rupture, Point-of-Care Ultrasonography

November 20, 2018 System Administrator

SonoSim Blog

  • Blog
    • Announcements
      • Trade Shows
    • COVID-19
    • International
      • International Partners
    • Newsletter
      • Newsletter 2014
      • Newsletter 2015
      • Newsletter 2016
      • Newsletter 2017
      • Newsletter 2018
      • Newsletter 2019
      • Newsletter 2020
    • SonoSim Case Studies
    • Ultrasound Literature
      • Clinical Studies
        • Cardiology Clinical Studies
        • Emergency Medicine Clinical Studies
        • Gynecology
        • Musculoskeletal
          • Ankle
          • Foot
          • Knee
          • Shoulder
          • Spine
          • Thigh
          • Wrist
        • OB/GYN – Clinical Studies
        • Ophthalmology
        • Point-of-Care
          • Pediatrics
        • Procedures
          • Arthrocentesis
          • FAST and E-FAST
          • Lumbar Puncture
          • Nerve Block
          • Reduction
          • RUSH Protocol Procedures
          • Vascular Access
        • Sports Medicine
        • Vascular
          • Inferior Vena Cava
      • Education & Policy
        • Emergency Medicine
        • Medical School
        • OB/GYN
        • Pediatric Emergency Medicine
        • Prehospital Care
      • Hospital & Group Practice
        • Patient Satisfaction
    • Ultrasound Video Challenge
      • Abdomen
      • Airway
      • Aorta/IVC
      • Bladder
      • Breast
      • Cardiology
      • FAST Scan
      • Genitourinary
      • Intestinal/Biliary
      • Musculoskeletal Ultrasound Video Challenge
      • OB/GYN – Ultrasound Video Challenge
      • Ocular
      • Pulmonary
      • Renal
      • RUSH Protocol
      • Soft Tissue
      • Vascular Ultrasound Video Challenge
  • Conferences
  • In the Press
    • Press Coverage
    • Press Releases
  • Information Archive
  • Newsletter Articles
  • SonoSim Partners
  • Testimonials Archive
  • Ultrasound Review

Search

Learn More About the SonoSim Ultrasound Training Solution

    Contact Us  
×

Product Inquiry and General Contact

Please complete this form and a representative will be in touch with you shortly.


* Denotes a required field.

Create a Support Ticket

Complete the form to receive technical assistance. For a personal session to overview product features, please write "Product Overview" as the subject.


* Denotes a required field.

UPID Tag The UPID is a four or five digit number that can be found on a small black tag attached to the cord of your SonoSim® Probe.


Previous Article Vasa Previa: Prenatal Diagnosis and Outcomes: Thirty-five Cases from a Single Maternal-Fetal Medicine Practice Tuesday, November 20, 2018
Next Article Ultrasound-Guided Percutaneous Dilatational Tracheostomies in 2 Difficult Airways Tuesday, December 4, 2018
SonoSim LogoSonoSim LogoTagline
The Easiest Way to Learn & Teach UltrasonographyTM
Social Media
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Instagram
Join the community for exclusive ultrasound tips and more!
Subscribe
X

Sign Up for the SonoSim Newsletter

Receive ultrasound tips, product updates, industry news, and more!

Ultrasound Courses

  • Echocardiography Training
  • Emergency Ultrasound Training
  • Musculoskeletal Ultrasound Training
  • OBGYN Ultrasound Training
  • POCUS Ultrasound Training
  • Ultrasound-Guided Procedures

Group Programs

  • Physician Groups & Residency Programs
  • Medical Schools
  • Simulation Centers
  • DMS Programs
  • Physician Associate Programs
  • Nursing Schools

Legal

  • Patents
  • Privacy
  • End User Agreement
  • Terms of Service
  • ar عربى
  • de Deutsche
  • en English
  • es Español
  • en Français
  • it Italiano
  • ru Русский
Copyright © SonoSim, Inc. All Rights Reserved. View Patents
We use cookies to enhance site navigation, analyze site usage, assist in marketing efforts, and improve our members’ experiences. Visit our Privacy Policy for more information.

Need Help?

Click here to chat!

1