Proximal Hamstring Avulsion Injury in an Ultimate Frisbee Player: Case Report and Literature Review

Abstract

There are few studies describing the occurrence of injuries in ultimate—commonly known as Ultimate Frisbee. We present the case of an elite ultimate player who suffered a proximal hamstring avulsion injury. A 26-year-old male athlete was evaluated in our office 2 weeks after being involved in a collision during an ultimate game. Magnetic resonance imaging of the hamstrings showed an extensive, high-grade right-sided tear with a 5–6 cm of tendon retraction and moderate signal in the muscle extending to the thigh. Delayed open repair of the avulsed tendon was performed through a posterior approach under general anaesthesia. Twelve months after surgery, the patient had no complaints, and his range of motion and strength had recovered to preinjury levels. The patient has since competed at the national club level and the professional level. This case reports on the success of the primary repair even after a delay in treatment of several weeks and significant tendon retraction.