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Proximal hamstring avulsion — MRCEM SBA MCQ

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HardSoft Tissue InjuryProximal hamstring avulsionMRCEM SBA

A 23-year-old footballer has proximal hamstring pain after overstretching into hip flexion and knee extension. He has extensive bruising and marked weakness. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — MRI pelvis and thigh to assess tendon avulsion

Marked weakness, bruising and an overstretch mechanism raise concern for proximal hamstring tendon avulsion. MRI defines tendon involvement, retraction and surgical indications. Early recognition matters because delayed repair can be more difficult.

Reference: Brukner & Khan; BJSM hamstring injury