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Hamstring tear classification - British athletics

Updated: May 13, 2023

This paper explores a different grading system for hamstring injuries. It is different from the 'old' 1,2,3 ie mild, moderate, severe tears system and considers length of tear, cross-sectional area of oedema, muscle fibre disruption and the structure torn eg fascia, muscle or tendon which all have rehab and return to play implications.

For example a 1a hamstring could be sprinting in a week, a 3c may take 8-12 weeks and a 4 may require surgery. Accurate diagnosis is key to effective rehab and accordingly accurate prognosis. Happy education 😃.

Pollock 2014 Hamstring grading
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