# Endoscopic Management of Calcific Tendinopathy in the Proximal Hamstring: Two Case Reports

## TL;DR

Two patients with proximal hamstring calcific tendinopathy were successfully treated with endoscopic surgery, highlighting its effectiveness and the need for better recognition of this condition.

## Contribution

The paper introduces endoscopic management as a viable treatment for proximal hamstring calcific tendinopathy, a previously underrecognized condition.

## Key findings

- Endoscopic debridement and repair provided symptom relief for two patients with proximal hamstring calcific tendinopathy.
- MRI failed to diagnose calcific tendinopathy preoperatively in both cases, indicating its limitations.
- Endoscopic management offers direct visualization and minimally invasive repair with low morbidity.

## Abstract

This report presents two cases of previously undocumented proximal hamstring calcific tendinopathy, diagnosed and treated with endoscopic management. A 54‐year‐old woman with a 50% partial‐thickness tear and a 72‐year‐old woman with a 90% tear and knee pathology underwent endoscopic debridement and tendon repair, achieving symptom relief. Neither patient had a preoperative diagnosis of calcific tendinopathy, emphasizing MRI limitations. These cases suggest that calcific tendinopathy of the proximal hamstring may be underrecognized and that endoscopic management offers direct visualization, effective debridement, and minimally invasive repair with low morbidity. Endoscopic evaluation should be considered for patients with persistent hamstring pain despite conservative treatment.