Open Repair of Complete Proximal Hamstring Avulsions in Workers’ Compensation Patients

Background: Several studies have reported excellent results after surgical repair of proximal hamstring avulsions. However, the effect on these patients of receiving workers’ compensation has not yet been explored. Hypothesis: Workers’ compensation patients undergoing proximal hamstring repair of co...

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Veröffentlicht in:Orthopaedic journal of sports medicine 2022-09, Vol.10 (9), p.23259671221119774-23259671221119774
Hauptverfasser: Johnson, Emma E., Brutico, Joseph M., Rangavajjula, Lasya, Xia, Yuwei, Paul, Ryan W., Otlans, Peters, Arner, Justin W., Hammoud, Sommer, Bradley, James P., Cohen, Steven B.
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container_end_page 23259671221119774
container_issue 9
container_start_page 23259671221119774
container_title Orthopaedic journal of sports medicine
container_volume 10
creator Johnson, Emma E.
Brutico, Joseph M.
Rangavajjula, Lasya
Xia, Yuwei
Paul, Ryan W.
Otlans, Peters
Arner, Justin W.
Hammoud, Sommer
Bradley, James P.
Cohen, Steven B.
description Background: Several studies have reported excellent results after surgical repair of proximal hamstring avulsions. However, the effect on these patients of receiving workers’ compensation has not yet been explored. Hypothesis: Workers’ compensation patients undergoing proximal hamstring repair of complete tears will have similar outcomes when compared with a matched control group of non–workers’ compensation patients. Study Design: Cohort study; Level of evidence, 3. Methods: Workers’ compensation patients who underwent complete proximal hamstring avulsion open repair between 2010 and 2019 were identified (WC group). A control group was matched by age (±3 years), sex, and body mass index (BMI; ±3). Demographics and patient-reported outcome measures were compared, including standard and custom Marx activity rating scale (MARS), standard and custom lower extremity functional scale (LEFS), and visual analog scale (VAS) for pain. Rate and time to return to work were recorded. Results: The WC group was composed of 20 patients (8 men, 12 women) with a mean age of 52.3 years and BMI of 32.4. The 20 matched controls (8 men, 12 women) who underwent repair had a mean age of 50.6 years and a mean BMI of 31.2. There was no difference between the groups regarding age (P = .924), sex (P > .999), or BMI (P = .330). The WC group reported similar mean MARS (3.3 vs 5.4; P = .174), custom MARS (87.5 vs 97.0; P = .215), and VAS pain (3.3 vs 3.8; P = .698) scores compared with controls. However, the WC group had significantly lower standard LEFS (69.1 vs 94.1; P < .001) and custom LEFS (62.3 vs 87.9; P < .001) scores, returned to work at a lower rate (70.0% vs 94.1%; P = .039), and required more time to return to work after repair (4.3 vs 3.5 months; P = .029) compared with controls. Conclusion: Workers’ compensation patients who underwent open proximal hamstring repair for complete avulsions experienced inferior patient-reported outcomes, required more time to return to work, and returned to work at a lower rate than a matched control group.
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However, the effect on these patients of receiving workers’ compensation has not yet been explored. Hypothesis: Workers’ compensation patients undergoing proximal hamstring repair of complete tears will have similar outcomes when compared with a matched control group of non–workers’ compensation patients. Study Design: Cohort study; Level of evidence, 3. Methods: Workers’ compensation patients who underwent complete proximal hamstring avulsion open repair between 2010 and 2019 were identified (WC group). A control group was matched by age (±3 years), sex, and body mass index (BMI; ±3). Demographics and patient-reported outcome measures were compared, including standard and custom Marx activity rating scale (MARS), standard and custom lower extremity functional scale (LEFS), and visual analog scale (VAS) for pain. Rate and time to return to work were recorded. Results: The WC group was composed of 20 patients (8 men, 12 women) with a mean age of 52.3 years and BMI of 32.4. The 20 matched controls (8 men, 12 women) who underwent repair had a mean age of 50.6 years and a mean BMI of 31.2. There was no difference between the groups regarding age (P = .924), sex (P &gt; .999), or BMI (P = .330). The WC group reported similar mean MARS (3.3 vs 5.4; P = .174), custom MARS (87.5 vs 97.0; P = .215), and VAS pain (3.3 vs 3.8; P = .698) scores compared with controls. However, the WC group had significantly lower standard LEFS (69.1 vs 94.1; P &lt; .001) and custom LEFS (62.3 vs 87.9; P &lt; .001) scores, returned to work at a lower rate (70.0% vs 94.1%; P = .039), and required more time to return to work after repair (4.3 vs 3.5 months; P = .029) compared with controls. Conclusion: Workers’ compensation patients who underwent open proximal hamstring repair for complete avulsions experienced inferior patient-reported outcomes, required more time to return to work, and returned to work at a lower rate than a matched control group.</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/23259671221119774</identifier><identifier>PMID: 36081409</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Body mass index ; Orthopedics ; Patients ; Sports medicine ; Workers compensation</subject><ispartof>Orthopaedic journal of sports medicine, 2022-09, Vol.10 (9), p.23259671221119774-23259671221119774</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022 2022 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-ae2efe4bbccf41bd15da8cbe5a8cda9bf61577d640743094d8ee30f500c6ed003</citedby><cites>FETCH-LOGICAL-c443t-ae2efe4bbccf41bd15da8cbe5a8cda9bf61577d640743094d8ee30f500c6ed003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445462/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445462/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,21947,27832,27903,27904,44924,45312,53769,53771</link.rule.ids></links><search><creatorcontrib>Johnson, Emma E.</creatorcontrib><creatorcontrib>Brutico, Joseph M.</creatorcontrib><creatorcontrib>Rangavajjula, Lasya</creatorcontrib><creatorcontrib>Xia, Yuwei</creatorcontrib><creatorcontrib>Paul, Ryan W.</creatorcontrib><creatorcontrib>Otlans, Peters</creatorcontrib><creatorcontrib>Arner, Justin W.</creatorcontrib><creatorcontrib>Hammoud, Sommer</creatorcontrib><creatorcontrib>Bradley, James P.</creatorcontrib><creatorcontrib>Cohen, Steven B.</creatorcontrib><title>Open Repair of Complete Proximal Hamstring Avulsions in Workers’ Compensation Patients</title><title>Orthopaedic journal of sports medicine</title><description>Background: Several studies have reported excellent results after surgical repair of proximal hamstring avulsions. However, the effect on these patients of receiving workers’ compensation has not yet been explored. Hypothesis: Workers’ compensation patients undergoing proximal hamstring repair of complete tears will have similar outcomes when compared with a matched control group of non–workers’ compensation patients. Study Design: Cohort study; Level of evidence, 3. Methods: Workers’ compensation patients who underwent complete proximal hamstring avulsion open repair between 2010 and 2019 were identified (WC group). A control group was matched by age (±3 years), sex, and body mass index (BMI; ±3). Demographics and patient-reported outcome measures were compared, including standard and custom Marx activity rating scale (MARS), standard and custom lower extremity functional scale (LEFS), and visual analog scale (VAS) for pain. Rate and time to return to work were recorded. Results: The WC group was composed of 20 patients (8 men, 12 women) with a mean age of 52.3 years and BMI of 32.4. The 20 matched controls (8 men, 12 women) who underwent repair had a mean age of 50.6 years and a mean BMI of 31.2. There was no difference between the groups regarding age (P = .924), sex (P &gt; .999), or BMI (P = .330). The WC group reported similar mean MARS (3.3 vs 5.4; P = .174), custom MARS (87.5 vs 97.0; P = .215), and VAS pain (3.3 vs 3.8; P = .698) scores compared with controls. However, the WC group had significantly lower standard LEFS (69.1 vs 94.1; P &lt; .001) and custom LEFS (62.3 vs 87.9; P &lt; .001) scores, returned to work at a lower rate (70.0% vs 94.1%; P = .039), and required more time to return to work after repair (4.3 vs 3.5 months; P = .029) compared with controls. Conclusion: Workers’ compensation patients who underwent open proximal hamstring repair for complete avulsions experienced inferior patient-reported outcomes, required more time to return to work, and returned to work at a lower rate than a matched control group.</description><subject>Body mass index</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Sports medicine</subject><subject>Workers compensation</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1KxDAQx4Morug-gLeAFy_VpE2b9iLI4hcIu4iit5C20zXaJjVpF735Gr6eT2Lqip-YQyZMfv9_JjMIbVOyRynn-2EUxlnCaRhSSjPO2QraGHLBkFz9dh6hsXN3xK80plnE19EoSkhKGck20M20BY0voJXKYlPhiWnaGjrAM2seVSNrfCob11ml5_hw0ddOGe2w0vja2Huw7vX55V0D2snO3-GZD6A7t4XWKlk7GH_ETXR1fHQ5OQ3Opydnk8PzoGAs6gIJIVTA8rwoKkbzksalTIscYr-XMsurhMaclwkjnEUkY2UKEJEqJqRIoCQk2kQHS9-2zxsoC_-2lbVorS_ePgkjlfh5o9WtmJuFyBiLWRJ6g90PA2seenCdaJQroK6lBtM7EfoWpx5MmUd3fqF3prfaf2-ghl5zEnmKLqnCGucsVJ_FUCKG0Yk_o_OavaXGyTl8uf4veANxlZm4</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Johnson, Emma E.</creator><creator>Brutico, Joseph M.</creator><creator>Rangavajjula, Lasya</creator><creator>Xia, Yuwei</creator><creator>Paul, Ryan W.</creator><creator>Otlans, Peters</creator><creator>Arner, Justin W.</creator><creator>Hammoud, Sommer</creator><creator>Bradley, James P.</creator><creator>Cohen, Steven B.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220901</creationdate><title>Open Repair of Complete Proximal Hamstring Avulsions in Workers’ Compensation Patients</title><author>Johnson, Emma E. ; 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However, the effect on these patients of receiving workers’ compensation has not yet been explored. Hypothesis: Workers’ compensation patients undergoing proximal hamstring repair of complete tears will have similar outcomes when compared with a matched control group of non–workers’ compensation patients. Study Design: Cohort study; Level of evidence, 3. Methods: Workers’ compensation patients who underwent complete proximal hamstring avulsion open repair between 2010 and 2019 were identified (WC group). A control group was matched by age (±3 years), sex, and body mass index (BMI; ±3). Demographics and patient-reported outcome measures were compared, including standard and custom Marx activity rating scale (MARS), standard and custom lower extremity functional scale (LEFS), and visual analog scale (VAS) for pain. Rate and time to return to work were recorded. Results: The WC group was composed of 20 patients (8 men, 12 women) with a mean age of 52.3 years and BMI of 32.4. The 20 matched controls (8 men, 12 women) who underwent repair had a mean age of 50.6 years and a mean BMI of 31.2. There was no difference between the groups regarding age (P = .924), sex (P &gt; .999), or BMI (P = .330). The WC group reported similar mean MARS (3.3 vs 5.4; P = .174), custom MARS (87.5 vs 97.0; P = .215), and VAS pain (3.3 vs 3.8; P = .698) scores compared with controls. However, the WC group had significantly lower standard LEFS (69.1 vs 94.1; P &lt; .001) and custom LEFS (62.3 vs 87.9; P &lt; .001) scores, returned to work at a lower rate (70.0% vs 94.1%; P = .039), and required more time to return to work after repair (4.3 vs 3.5 months; P = .029) compared with controls. Conclusion: Workers’ compensation patients who underwent open proximal hamstring repair for complete avulsions experienced inferior patient-reported outcomes, required more time to return to work, and returned to work at a lower rate than a matched control group.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>36081409</pmid><doi>10.1177/23259671221119774</doi><oa>free_for_read</oa></addata></record>
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subjects Body mass index
Orthopedics
Patients
Sports medicine
Workers compensation
title Open Repair of Complete Proximal Hamstring Avulsions in Workers’ Compensation Patients
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