2017 AMI Online Salon

Proximal Hamstring Repair

Project Details

  • Artist(s):  Ni-ka Ford; New York, New York
  • Client: Jonathan Robinson, MD
  • Copyright: © 2018 Ni-ka Ford
  • Medium / software used: Adobe Photoshop
  • Final presentation format: Print
  • Primary audience: Orthopedic Surgeons, Fellows, and Residents

Project Description

This illustration provides four panels that highlight the important aspects of surgical repair of a proximal hamstring avulsion. The first panel describes the relationship between the sciatic nerve and ischial tuberosity as well as the relationship between the inferior gluteal artery and the inferior border of the gluteus maximus. These relationships are important in the surgical planning of hamstring repair. The second panel indicates the placement of each hamstring muscle at its point of origin on the ischial tuberosity. The common peroneal branch of the sciatic nerve is inflamed when it is retracted from its origin due to the avulsion. The third panel depicts the arrangement of suture anchors on the ischial tuberosity and where the sutures sequentially pass through the tendons of the hamstring muscles. In the fourth panel, the muscles are reattached to their points of origin, and tension on the common perineal branch of the sciatic nerve is released.