Surgical Treatment of Muscle Injuries

Muscle injury is generally treated conservatively. Operative treatment is seldom considered. Highly specific indications might be beneficial for severe injuries, shown in Table 36.1. Proximal hamstring and rectus femoris muscles are the most often injured and surgically treated in football players. The distinction between injury to the hamstring muscle and injury to the central tendon is underappreciated as being a distinct entity. Postoperative surgery rehabilitation is guided by the diagnosis, the surgical procedure, and the patient’s progress. Return to play full sport activity within 3–4 months.