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Investigation and management of an isolated complete distal avulsion of semitendinosus
  1. Idrees Ahmed1,
  2. Martin Williams2,
  3. James Murray3
  1. 1 Faculty of Health Sciences, University of Bristol, Bristol, UK
  2. 2 Department of Radiology, Southmead Hospital, Bristol, UK
  3. 3 Department of Trauma and Orthopaedics, Southmead Hospital, Bristol, UK
  1. Correspondence to Idrees Ahmed, ia13568{at}


A 34-year-old male patient presented with right-sided posteromedial knee pain following an attempted tackle during a soccer match. MRI revealed that the semitendinosus (ST) tendon had completely avulsed from its distal insertion site. The patient was initially managed conservatively but eventually required surgery due to ongoing posteromedial knee pain. Surgical management was achieved through tenodesis of ST to gracilis. Postsurgery, the posteromedial knee pain had been alleviated, and following physiotherapy the patient regained a good range of motion.

  • hamstring
  • tendon rupture

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  • Contributors Conception and design of manuscript: IA, MW, JM. Acquisition of images for use in the manuscript: MW. Analysis and/or interpretation of images: MW. Drafting the manuscript: IA, MW, JM. Revising the manuscript critically for important intellectual content: IA, MW, JM. Approval of the version of the manuscript to be published: IA, MW, JM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.