Semin Musculoskelet Radiol 2024; 28(02): 119-129
DOI: 10.1055/s-0043-1778027
Review Article

Hamstring Injuries: A Paradigm for Return to Play

Michael K. Hoy
1   Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
Stephen Stache Jr.
2   Departments of Orthopaedics and Family and Community Medicine, Rothman Orthopaedic Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
Johannes B. Roedl
1   Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
› Author Affiliations


Muscle injuries are the most common sports-related injuries, with hamstring involvement most common in professional athletes. These injuries can lead to significant time lost from play and have a high risk of reinjury. We review the anatomy, mechanisms of injury, diagnostic imaging modalities, and treatment techniques for hamstring injuries. We also present the latest evidence related to return to play (RTP) after hamstring injuries, including a review of articles targeted to RTP in European soccer (Union of European Football Associations), American football (National Football League), and other professional sports. Review of imaging findings in hamstring injury, grading systems for injuries, considerations for RTP, as well as advances in injury prevention, are discussed.

Publication History

Article published online:
14 March 2024

© 2024. Thieme. All rights reserved.

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