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http://dx.doi.org/10.1007/s11356-021-12980-0DOI Listing

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Hamstring injuries constitute up to 30% of lower-extremity pathology and are the leading cause of time lost from competition in elite athletes. Although hamstring injuries frequently involve the proximal or mid-substance regions, distal injuries are particularly uncommon and are therefore sparsely studied. Among these, biceps femoris tears predominate, whereas those of the semimembranosus and semitendinosus are less common.

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Injuries to the proximal hamstring muscle complex are common in athletes and range from strains to tendinous and bony avulsions. The lesion mechanism typically involves an eccentric contraction of the hamstring muscles during abrupt hip hyperflexion with the knee in extension. Low-speed injuries occur in high kicks and splits, whereas tendon avulsions are common in high-speed activities, such as running and ballet.

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