Table 2

Overview of decision-making modifiers for treatment of proximal hamstring tendon avulsions

Potential decision modifiersSelected by majority (>50%) as decision modifierSupports choice for surgical treatment ifProportion of participants that selected the option
                    Question domain: Patient characteristics
AgeYes (54%)Age below 40 years12%
Age below 50 years10%
Age below 60 years7%
(Mean: 44.7±13.4 years)
GenderNo (7%)
Level of sports participation*Yes (71%)No sports participation7%
Recreational athlete36%
Competitive athlete60%
Professional athlete60%
Activity frequencyNo (48%)
Patient preference for surgeryYes (78%)Affects decision by shared decision-making74%
Is an overruling factor4%
                    Question domain: Symptoms and function
Pain*Yes (68%)Pain during activity (occupational)53%
Pain during activity (athletic)51%
Pain during prolonged sitting39%
Any other pain13%
Diminished function*Yes (84%)Inability to participate in sports at preinjury level53%
Inability to participate in sports at any level63%
Inability to perform heavy work-specific activities53%
Inability to perform any work-specific activities55%
Inability to perform activities of daily life63%
Neurological symptoms*Yes (74%)Numbness/paraesthesia45%
Sciatic pain53%
Muscle weakness42%
Any other neurological symptoms23%
                    Question domain: Imaging characteristics
Tendons involved*Yes (82%)Common tendon (biceps femoris and semitendinosus)32%
Semimembranosus tendon7%
Both tendons76%
Extent of retractionYes (84%)Any retraction27%
Retraction more than __ cm57%
(Median: 2 cm, IQR: 2–3 cm)
  • *Multiple answers were allowed.