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Failed regrowth of the harvested semitendinosus tendon: A rare complication of tendon harvest after anterior cruciate ligament reconstruction

  • Teppo L.N. Järvinen
    Affiliations
    University of Tampere and Department of Surgery (T.L.N.J., T.A.H.J. T. Penttilä) and the Department of Radiology (T. Paakkala), Tampere University Hospital, Tampere; and Orton Orthopaedic Hospital (A.H., J.S.), Invalid Foundation, Helsinki, Finland
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  • Tero A.H. Järvinen
    Affiliations
    University of Tampere and Department of Surgery (T.L.N.J., T.A.H.J. T. Penttilä) and the Department of Radiology (T. Paakkala), Tampere University Hospital, Tampere; and Orton Orthopaedic Hospital (A.H., J.S.), Invalid Foundation, Helsinki, Finland
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  • Tero Penttilä
    Affiliations
    University of Tampere and Department of Surgery (T.L.N.J., T.A.H.J. T. Penttilä) and the Department of Radiology (T. Paakkala), Tampere University Hospital, Tampere; and Orton Orthopaedic Hospital (A.H., J.S.), Invalid Foundation, Helsinki, Finland
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  • Arsi Harilainen
    Affiliations
    University of Tampere and Department of Surgery (T.L.N.J., T.A.H.J. T. Penttilä) and the Department of Radiology (T. Paakkala), Tampere University Hospital, Tampere; and Orton Orthopaedic Hospital (A.H., J.S.), Invalid Foundation, Helsinki, Finland
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  • Jerker Sandelin
    Affiliations
    University of Tampere and Department of Surgery (T.L.N.J., T.A.H.J. T. Penttilä) and the Department of Radiology (T. Paakkala), Tampere University Hospital, Tampere; and Orton Orthopaedic Hospital (A.H., J.S.), Invalid Foundation, Helsinki, Finland
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  • Timo Paakkala
    Affiliations
    University of Tampere and Department of Surgery (T.L.N.J., T.A.H.J. T. Penttilä) and the Department of Radiology (T. Paakkala), Tampere University Hospital, Tampere; and Orton Orthopaedic Hospital (A.H., J.S.), Invalid Foundation, Helsinki, Finland
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      Abstract

      Harvested hamstring tendons were recently shown to possess the ability to regrow and regain their function in flexing the knee joint. In this study, we report a case of failed regrowth of previously harvested semitendinosus tendon to its original insertion site in a 24-year-old professional soccer player. The disturbance resulted in the formation of a clearly visible Popeye-type muscular prominence in the proximal thigh and a notable gap in the midthigh distal to the muscular prominence in knee flexion. Furthermore, 6 months after surgery, in the second full-speed soccer practice, the patient experienced a sudden sharp pain in his hamstring muscles, which was later diagnosed as being from a strain of the semitendinosus muscle.
      Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 4 (April), 2003: pp E31–E31

      Keywords

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