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Proximal hamstring tendinopathy — MRCGP AKT MCQ

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ModerateTendinopathyProximal hamstring tendinopathyMRCGP AKT

A 36-year-old runner has proximal hamstring tendon pain worse with sitting and faster running. Palpation at the ischial tuberosity and resisted knee flexion reproduce symptoms. What is the most likely diagnosis?

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Correct answer: EProximal hamstring tendinopathy

Proximal hamstring tendinopathy causes deep buttock pain near the ischial tuberosity, often aggravated by sitting and running. Resisted hamstring loading reproduces symptoms. Management includes reducing compressive hip flexion loads and progressive hamstring strengthening.

Reference: BJSM tendinopathy; Brukner & Khan