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Table 1 Determinants having an effect on the time to return to play after hamstring muscle complex injury in athletes (according to [16])

From: Is radial extracorporeal shock wave therapy combined with a specific rehabilitation program (rESWT + RP) more effective than sham-rESWT + RP for acute hamstring muscle complex injury type 3b in athletes? Study protocol for a prospective, randomized, double-blind, sham-controlled single centre trial

Clinical determinants

MRI determinants

US determinants

• Stretching-type injuries

• Positive findings

• Large cross-sectional area

• Recreational-level sports

• Higher grade of injury

• Injury outside the musculotendinous junction

• Structural versus functional injuries

• Muscle involvement > 75%

• Hematoma

• Greater range of motion deficit with the hip flexed at 90°

• Complete transection

• Structural injury

• Time to first consultation > 1 week

• Retraction

• Injury involving the biceps femoris

• Increased pain on the visual analog scale

• Central tendon disruption of the biceps femoris

 

• > 1 day to be able to walk pain free after the injury

• Proximal tendon involvement

 

• Shorter distance to the ischial tuberosity

 

• Length of the hamstring injury

 

• Depth, volume, and large cross-sectional area

 
  1. MRI magnetic resonance imaging, US ultrasonography