Proximal Hamstring Avulsion During Childbirth

Abstract

Hormonal changes during pregnancy that increase soft tissue laxity and extreme body position during labor may predispose women to musculoskeletal injuries. This case describes a rare example of an acute proximal hamstring avulsion during childbirth. A 39-year-old female presented to the clinic with 2 weeks of right posterior thigh pain and bruising after the vaginal delivery of her infant. McRoberts maneuver was utilized during childbirth, which may have contributed to a proximal hamstring avulsion ultimately requiring surgical repair. Pregnant women may be at risk of tendinous injuries due to particular body positioning and concurrent hormonal changes. Special attention may be warranted in prenatal and perinatal women to avoid excessive stress on tendons, thus potentially preventing acute strain or rupture.

J Clin Gynecol Obstet. 2020;9(1-2):17-20
doi: https://doi.org/10.14740/jcgo637