Statistics from Altmetric.com
I heard it as much as I felt it when the accident happened. I was waterskiing for the first time in 20 years and lost my balance as I was coming up out of the water. My legs straightened just as the boat hit speed and then I heard the snap. Thirty minutes later paramedics hauled me up the steep steps from the dock, strapped to a backboard, high over their heads. I was immediately worried about how this was going to impact my commitment to being active in my 40s and my new cycling hobby (figure 1).
Initial diagnosis: sometimes it’s zebras
Theodore Woodward coined the phrase, “when you hear hoof beats, think of horses not zebras”. My consulting emergency room physician rightly assumed it was a hamstring strain—in his mind it was a horse. Back home in London 4 weeks later I met my sport and exercise medicine specialist, Dr Phil Batty at Isokinetic, who confirmed with his in-office ultrasound scanner that the muscle was retracted. This was a zebra—and not one for conservative management! He sent me for an MRI, which confirmed a full avulsion of the proximal hamstring tendon. It was 15 cm retracted, and I definitely needed surgery. …
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.