Proximal biceps tendon repair physical therapy Protocol

Proximal Biceps Tendon Repair Shoulder Brace: wear for daily activities & sleeping for 4 weeks Range of motion Week 1-2 • Shoulder PROM flexion approx. 90° initially then gradually increase during first 2 weeks • Shoulder PROM ER/IR @ 45° ABD to tolerance (caution w/ excessiv Biceps Tenodesis Protocol Physical Therapy . Biceps Tenodesis Protocol No friction massage to the proximal biceps tendon / tenodesis site Patient education regarding limited use of upper extremity despite the potential lack of or minimal pain or other symptom BICEPS TENDON REPAIR REHABILITATION PROTOCOL RANGE OF IMMOBILIZER THERAPEUTIC MOTION EXERCISE PHASE I None Locked in neutral - worn at all Gentle wrist and shoulder ROM 0 - 3 weeks times PHASE II Active extension to 30 Worn at all times (including Continue with wrist and shoulder ROM, 3 - 6 weeks in brace exercise) - removed for hygiene begin active extension to 30 , N

rehabilitation guidelines for Biceps tenodesis together as a mass. A keyhole is made in the groove of the humerus, the tendon mass is then inserted into the keyhole and pulled downward so that the tendon mass is locked in place.3 The Pitt technique uses two needles to pierce the bicep tendon in opposite directions. Sutures are then threade Proximal biceps tendon tendinitis may be a grade 1 or 2 strain of the tendon. A grade 1 strain is a mild strain. There is a slight pull of the tendon without obvious tendon tearing (it is microscopic tendon tearing). There is no loss of strength, and the tendon is the correct length. A grade 2 strain is a moderate strain. There is tearing of tendon Physical Therapy Distal Bicep Tendon Repair- Rehabilitation Protocol The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course for a patient that has undergone a distal biceps tendon repair. It is by no means intended to be a substitute for one's clinical decision makin David Smith, SPT, Missouri State University, Springfield, Missouri. Study Design: Case Study Objective: To describe the use of conservative treatment of a proximal long head of the biceps (LHB) tendon rupture for a patient preferring to forego surgery.. Background: The patient was a 49 year old male who presented with pain and weakness in the left shoulder, and a bulge in anterior, left brachium

biceps tendon Radius bone Figure 1: The biceps muscle lies on the front of the upper arm and has two heads. At the shoulder there are two tendon attachements, where as at the elbow there is one tendon (distal) attaching to the radius bone of the forearm. Repair of the biceps tendon End of tendon trimmed Sutures placed Figure 2: Distal biceps. Physical Therapy for Biceps Tendonitis. Brett Sears, PT, MDT, is a physical therapist with over 15 years of experience in orthopedic and hospital-based therapy. Mohamad Hassan, PT, DPT, diagnoses neuromuscular and orthopedic conditions, including sprains, strains, and post-operation fractures and tears


Physical Therapy as a Conservative Treatment for a

Rehabilitation Program for Distal Biceps Repair Phase I (week 1) ¾ Posterior splint at 90 degrees of elbow flexion ¾ Wrist and hand gripping exercises Phase II (week 2-6) ¾ Elbow ROM brace o Week 2 @ 45-100 o Week 4 @ 30-115 o Week 6 @ 15-130 ¾ Shoulder exercises (rotator cuff) ¾ Scapular strengthenin Physical Therapy Protocols - Dr. Robert Rolf. Below you will find a list of physical therapy protocols that can be followed after having a procedure performed by Dr. Rolf. These are intended to provide guidelines of progression in recovery. They include weight bearing status, ranges of motion, use of a brace, exercises or stretches, and other. Rehab Protocols. To serve as a guide to physical therapy following your surgery, this section contains rehabilitation protocols specific to your procedure. Please note these are meant to be guidelines for rehabilitation to be followed by a certified physical or occupational therapist Distal Biceps Tendon Repair Rehab Protocol 1 Rehabilitation Guidelines - Distal Bicep Tendon Repair Note: Revision surgery or cases involving allograft procedures may undergo modifications to the below guideline. Additional restrictions or modifications will be listed in the last paragraph of the Operative Report and the therapy instructions

Humeral Fracture Repair: Percutaneous Pinning and

Sports Medicine Physical Therapy. Mass General - Boston. 175 Cambridge Street, 4th Floor. Boston, MA 02114. Phone: 617-643-9999. Fax: 617-643-0822. Explore Our Sports Physical Therapy Rehabilitation Protocols. Knee Distal biceps tendon repair rehab and physical therapy protocol from immediately after surgery to 6 months and over Physical Therapy Protocol Now that your SUBSCAPULARIS (Anterior rotator cuff) tear has been rotator cuff repair protocol as the SUBSCAPULARIS is put under tension with different positions than the more commonly repaired Supraspinatus tendon. The rotator cuff tissue is not very strong and • IF BICEPS TENODESIS WAS PERFORMED,. Phase III (6 weeks post-op): Begin active elbow flexion and supination at 6 weeks post-op. Begin co-contraction exercises of biceps and triceps. Elbow ROM. Discontinue brace 8 weeks post-op (0-145). Light isotonic triceps. Isotonic wrist flexors/extensors. Shoulder rotator cuff and scapular strengthening Physical Therapy Protocols. The following is a list of therapies your physical therapist might use during the course of your treatment. These are not meant for self-treatment and only done under the supervision of your physical therapist. Physical therapy is critical for successful outcomes, aiding in the recovery after surgery or recovery from.

Biceps Tendonitis Physical Therapy and Reha

NOTE: The following instructions are intended for your physical therapist and should be brought to your first physical therapy visit. A biceps tenodesis procedure involves cutting of the long head of the biceps just prior to its insertion on the superior labrum and then anchoring the tendon along its anatomical course more distally along the. Rehabilitation after Biceps Tenodesis Phase One: 0 to 4 weeks after surgery Goals: 1. Protect the surgical repair 2. Ensure wound healing 3. Prevent shoulder stiffness 4. Regain range of motion Activities: 1. Sling Use your sling most of the time for the first 3 weeks. Remove the sling 4 or 5 times a da

Proximal Biceps Tendon Tear Surgery: What to Expect at Hom

Rupture Long Head Biceps - Physiopedi

Therapy Protocols Orthopedics & Sports Medicine

Proximal hamstring tendon rupture. The below image illustrates the appearance of the posterior thigh whereby a complete rupture of the proximal hamstring tendon has occurred as evidenced by the 'popeye' sign. That is the proximal hamstring tendon has completely dissociated away from the origin sote being the sitting bone (ischial tuberosity The physician reserves the right to either advance or delay this protocol as deemed necessary. If so, this should be done by direct communication with the therapist, or in writing on the therapy referral form given to the patient on the day of surgery. 0-4 Weeks Post-Op: Patient to be seen 2-3x/week. Guidelines: No isolated biceps activatio

Conservative Treatment of a Proximal Full-Thickness Biceps

Physical therapy is crucial to achieving great outcomes in both our operative and non-operative patients. Our orthopedic surgeons and physical therapy department have developed advanced rehabilitation protocols using evidence from the current literature and accounting for preferences of the providers at Allina Health Orthopedics Proximal Hamstring Repair Day of surgery A. Diet as tolerated B. Pain medication as needed every 4-6 hours (refer to pain medication sheet). C. Make sure you have a physical therapy post-op appointment scheduled during the first week after surgery. D. If you were given a brace this should be worn at all times except during sleep. First Post. Biceps tenotomy-procedure the long head of biceps tendon is released from it's attachment in the shoulder joint, allowing it to fall down into the upper arm and out of the shoulder joint. Procedure: Immediate Post Op (Day 1-6 weeks) Outpatient physical therapy- starts post op day 2-3 Goals: Preserve the integrity of the surgical repair Minimize. Patellar Tendinopathy. Hop Test Instructions. Shoulder. Adhesive Capsuliis of the Shoulder. Bankart Repair. Posterior Capsular Stabilization. Repair of Rotator Cuff Tears (Uncomplicated) Repair of Rotator Cuff Tears with Retraction. Repair of Large Rotator Cuff Tears without Retraction > 2.5cm Proximal biceps tendon ruptures can be treated conservatively with physical therapy and anti-inflammatories. Surgery is considered when a patient continues to have pain despite conservative measures. The biceps tendon is not reattached to its original origin; the biceps is attached to the humerus in a procedure called a biceps tenodesis

Elbow tendon injury - David Kummerfeld MD

Rehab Protocols. Each physician at Premier Bone & Joint Centers is actively involved in our patients' recoveries through physical therapy. Below are the physical therapy protocols that each doctor recommends. If you have any questions about these protocols, don't hesitate to contact us at (800) 446-5684 Physical exam findings that may be suggestive of long head biceps tendon pathology (either subluxation or tendon tearing) include tenderness along the bicipital sheath, a positive Speed's Sign, and pain with internal rotation. A specific diagnostic finding includes actual translation of the biceps tendon outside its sheath Biceps tendonitis protocol physical Therapy Psychosomatik Klinik Hessen - Burn out Depression Esstörun . Hübsche Klinik im Herzen von Bad Nauheim mit exzellenter Küche und besten Ärzte STRENGTHENING EXERCISES • Biceps Tendon Tendinitis (Proximal) and Tenosynovitis These are some of the initial exercises you may start your rehabilitation program with until you see your physician, physical.

Musculotendinous ruptures of the distal biceps brachii are extremely rare injuries whose clinical presentation is similar to distal biceps avulsion. We describe two cases of patients who suffered a distal biceps brachii musculotendinous partial rupture. The first patient was playing soccer as goalkeeper and experienced sudden pain while throwing the ball overhead with his left arm Proximal biceps tendinopathy is the inflammation of the tendon around the long head of the biceps muscle. Acute biceps tendinopathy may occur because of sudden overuse, especially among athletic patients aged over 35 and any patient aged over 65 Biceps tenodesis is surgery to repair a biceps tendon tear or to help make the tendon more stable, occurs due to either abrupt injury,[PDF]Bicep Tenodesis Protocol Name _____Date _____ Procedure • Perform desensitization of the scar and massage the biceps, such as death, Maintaining the functional Biceps tenodesis can be performed proximally, with the tendon maintained within the bicipital groove, 41,49,50 or distally, with the tendon removed from the groove. 9,35,36,50-53 Advocates of distal fixation report that removing the LHB from the bicipital groove and excising the proximal portion of the tendon limits the potential for. The proximal biceps tendon rupture is more common than distal biceps tendon rupture. Pain is often sharp and excruciating pain. Audible Pop-Patient hears and feels pop when tendon is separated or ruptured. Bicep Muscle Cramp-Use of upper arm causes cramping of biceps muscle. Muscle cramp causes bulging of the muscles

Biceps Tenodesis Protocol » Hamilton Orthopaedic Spine

Physical Therapy Protocols-Rolf Beacon Orthopaedics

Early diagnosis and treatment is the key to a successful outcome for biceps tendon ruptures. If diagnosis or treatment is delayed the integrity of the healing tissue can be compromised as a result of scarring and decreased blood flow. Surgical repair followed by structured and physical therapy may be a treatment of choice for complete ruptures The biceps muscle has two heads, simply named the long head and the short head. With biceps tendinitis, it's usually the long head (which attaches to the top front of the shoulder) that gets injured. The long head tendon attaches to the shoulder joint capsule, and it is very near other important shoulder structures, such as your rotator cuff Distal biceps Tendon Repair Initial Postoperative Stretching ExercisesPlease understand that this does not represent the formation of a formal doctor patient.. The repair can target either the proximal or distal biceps tendon, though tears to the proximal tendon are more common. BICEPS TENDON REPAIR SURGERY There are several distinct approaches to biceps tendon repair, but every procedure shares the same goal: to reattach the proximal or distal biceps tendon to the radius, a prominent bone in the forearm A biceps tendon injury is a tear or rupture of connective tissue that connects the biceps muscle of the upper arm to bones at either the shoulder (proximal tendon) or elbow (distal tendon). Proximal tears are more common than distal tears and usually are the the result of chronic overuse or an acute injury, such as a direct blow to the shoulder.

Tears >50% should be treated with division of the remaining tendon and surgical repair of the entire tendon as a single unit. Surgical endoscopy provides the ability to further quantify the extent of a distal biceps tear and to treat with debridement. This technique, however, should only be used in experienced hands Proximal and distal ruptures both involve the biceps brachii but have potential for very different outcomes. Biceps tendon ruptures tend to occur in middle-age men, although they can also occur in younger patients. Approximately 96% involve the long head, 3% the distal, and 1% the short head of the biceps.[1,2

Rehab Protocols Physical Therapy Chicago, IL

The lower biceps tendon is called the distal biceps tendon. The word distal means that the tendon is further down the arm. The upper two tendons of the biceps are called the proximal biceps tendons, because they are closer to the top of the arm. The distal biceps tendon attaches to a small bump on the radius bone of the forearm The proximal zone encompasses the musculotendinous junction and proximal tendon where branches of the brachial artery extend across and continue within the tendon paratenon. Branches originating from the posterior interosseous recurrent artery supply the distal zone at the biceps tendon. [ 8 Arthroscopic Subacromial Decompression Surgery. Biceps tenodesis Protocol. Humerus FX ORIF Protocol - Dr. Sean Griffin. Latarjet Procedure Protocol. Posterior Labral Repair Protocol. Reverse Total Shoulder Arthroplasty. Rotator Cuff Repair Protocol. Rotator Cuff Repair Protocol - Dr Mark Smith. SLAP Repair Protocol Proximal biceps tendinitis is the irritation and inflammation of the biceps tendon at the shoulder joint. The biceps muscle is the muscle of the upper arm which is necessary for the movement of the shoulder and elbow. It is made of a 'short head' and a 'long head' which function together. The long head of the biceps tendon is attached.

Recovery from biceps tenodesis is a long process. It involves rest, wearing a sling, and physical therapy. Most people have a functional range of motion and adequate strength by four to six months. Etiology. Mid-hamstring strains and proximal hamstring tears are most commonly seen in athletes who require explosive force, such as with sprinting. These hamstring injuries tend to occur at terminal swing phase, during which the hamstrings are long in length while actively contracting 1. Biceps femoris long head is the most commonly affected. Biceps tendinopathy or tear - The close proximity of the proximal biceps tendon insertion and the glenoid labrum make it possible for patients to have bicipital tendon pathology and SLAP tears simultaneously. Anterior shoulder pain is a common complaint with both conditions Dr. Makhni offers physical therapy protocols which include hip abductor repair, knee arthroscopy, total shoulder replacement and Tommy John surgery in West Bloomfield, Troy and Sterling Heights, MI For acute and traumatic injuries, surgery is generally recommended. For chronic hamstring injuries, physical therapy and injections in the ischial tuberosity may provide relief. In many cases, a torn proximal hamstring can be repaired endoscopically by sewing the torn part of the hamstring tendon back to the bone using tiny suture-anchors

Sports Medicine Physical Therapy Rehabilitation Protocol

  1. Proximal bicep tenodesis may involve the following steps: You are given general anesthesia. A single 3.2 mm incision is made in the bone by Dr. Lee. An arthroscope, which is a thin tube-like instrument with a camera, is inserted through the incision to visualize the joint. The inside of the shoulder joint and the bicep tendon tear are displayed.
  2. A biceps tendon rupture can either be partial, where it does not completely tear or complete, where it splits in two and is torn away from the bone. The biceps tendon can tear at the shoulder joint or elbow joint. Most biceps tendon ruptures occur at the shoulder, which is referred to as a proximal biceps tendon rupture
  3. Biceps Tenodesis, Approved M. Lemos, MD, Compiled by E. Lang, DPT, 8_2013 6 Rehabilitation Protocol for Biceps Tenodesis: Summary Table Post -op Phase/Goals Range of Motion Therapeutic Exercise Precautions Phase I : 0 - 7 days Goals: Protect anatomic repair Allow healin
  4. BICEP TENODESIS REHABILITATION PROTOCOL This protocol was developed for patients who have had a bicep tenodesis. Please note this protocol is a guideline. Patients with additional surgery will progress at different rates. Achieving the criteria of each phase should be emphasized more than the approximate duration. PHASE I: ~1-7 DAYS POSTOPERATIV
  5. Background and purpose: Distal biceps rupture is less common than injury to the proximal biceps; however, injury distally has profound functional implications on activities which rely on power during elbow flexion and forearm supination. The majority of distal biceps ruptures can be treated with surgical repair of the distal biceps utilizing either a single or two-incision technique; both of.

Post-Operative Distal Biceps Tendon Repair Rehab Protocol

  1. Biceps Tendon Pain Exercises and Treatment Strategies - []. written by Kelly Wild PT, DPT. The biceps is a very important muscle in our upper arm that plays an integral role in our function. The muscle runs from the front of the shoulder to the elbow. It has two proximal tendon attachments to the shoulder and one.
  2. patellar tendon repair. Modifications to this guideline may be necessary dependent on physician specific instruction, location of repair, concomitant injuries or procedures performed. This evidence-based patellar tendon repair guideline is criterion-based; time frames and visits in each phase will vary depending on man
  3. Physical Therapy Protocols Knee. ACL Reconstruction - BTB Graft. ACL Reconstruction - Hamstring Tendon Graft Pectoralis Major Tendon Repair. Posterior Shoulder Stabilization Hip Arthroscopy with Labral Repair. Proximal Hamstring Repair. Elbow. Distal Biceps Repair. Lateral Epicondylitis Repair. Foot/Ankle. Achilles Tendon Repair. You.
  4. Biceps Tenodesis Protocol. Humeral Head/Glenoid Microfracture. Manipulation under anesthesia (shoulder) Multi Directional Repair Protocol - Routine. ORIF Clavicle Fracture. Pectoralis Major Tendon Repair. Posterior Repair Protocol - Routine. Proximal Humerus ORIF. Reverse Total Shoulder Arthroplasty- Subscapularis Repair
  5. Rehabilitation Protocol: Distal Biceps Tendon Repair Rehabilitation Protocol: Distal Femoral Osteotomy Rehabilitation Protocol: Elbow Capsular Release (Open or Arthroscopic

Distal Biceps Tendon Repair Protocol » Hamilton

Physical therapy protocols for Physical Therapists. Rotator Cuff Repair. SLAP Repair. Bankart Repair. Proximal Biceps Tenodesis. Subacromial Decompression/Distal Clavicle Resection. Anterior Capsular Shift. Preoperative Information. Fox Valley Orthopedics Surgery Center Quad or Patellar Tendon Repair HTO Proximal Hamstring Repair. Shoulder Rotator Cuff Repair Posterior Bankart Repair Total Shoulder or Reverse Shoulder Arthroplasty SLAP Repair, Bankart Repair or Bicep Tenodesis. Shoulder Arthroscopy Shoulder Latarjet (Coracoid Transfer) Proximal Humerus ORIF/Greater Tuberosity ORIF Non-Op Shoulder Instability. Proximal Hamstring Tendon Repair Rehab Protocol Weeks 0-6 Goal: Protection of surgical repair. Precautions: 1. Non-weightbearing with crutches for 6 weeks with foot flat or with knee Bledsoe brace locked at 30 degrees while ambulating and knee flexed to 90 degrees with sitting. 2. No active hamstring contraction. 3. No hip flexion with knee. Biceps tendonitis exercises 3: Improve the strength of your shoulders. The purpose of this last exercise is to increase the strength of your shoulder muscles. Strong shoulder muscles prevent stiffening of the shoulder, which can lead to your biceps tendonitis. By training your shoulder muscles you can prevent shoulder pain, neck pain, and arm pain

Physical Therapy Protocols - Dr

However, the long head of the biceps is a common area of pain within the front of the shoulder complex. Proximal biceps tendonitis is the inflammation of the cord like band, the biceps tendon, that connects the biceps to the shoulder. Chronic proximal biceps tendonitis can lead to biceps tendon rupture. Signs and Symptom Physical Therapy Protocol - AC Joint Reconstruction. Physical Therapy Protocol - Arthroscopic Anterior Stabilization. Physical Therapy Protocol - Clavicle ORIF. Physical Therapy Protocol - Distal Biceps Tendon Repair. Physical Therapy Protocol - Laterjet Anterior Open Stabilization. Physical Therapy Protocol - Massive Rotator Cuff.

Physical Therapy Protocols OrthoVirgini

Navigate to download the physical therapy protocols of Dr. Ian rice in Cincinnati and West Chester, OH. For more info, call us at 513-346-1599. 513-346-1599 513-346-159 Long Head of Biceps Tendinitis is a painful condition resulting from inflammation of the tendon of the long head biceps muscles. 1 The long head tendon of biceps originates from the superior surface of shoulder joint known as glenoid tubercle. Thus, any shoulder joint movement causes severe pain along long head of biceps because of irritation of the inflamed long head tendon

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Crystal Clinic Orthopedic Center Green 1622 East Turkeyfoot Lake Road, Suite 200 Akron, OH 44312. Phone: Fax: (330) 929-9189. Driving Directions; Crystal Clinic Orthopedic Center Cuyahoga Falls 437 Portage Trail Cuyahoga Falls, OH 44221. Phone: Fax: (330) 929-9189. Driving Direction NWO Therapy Department Rehabilitation Guidelines for Distal Biceps Tendon Repair . The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. It is not intended to be a substitute for one's clinical decision making. The plan of care should be based upon th

After completion of suture tying, arthroscopic scissors are used to amputate the biceps tendon proximally, with any residual biceps tendon located proximal to the tenodesis site being excised . The 30° arthroscope is then switched to the anterior portal for further evaluation of the completed subscapularis repair and biceps tenodesis ( Figs 6. Proximal Hamstring Repair. Hamstring injuries are common in athletes who participate in sports activities such as track, soccer, and basketball that involve running. The three hamstring muscles namely semitendinosus, semimembranosus and biceps femoris are at the back of the thigh and helps you bend (flex) your knee and extend your leg Rehabilitation Protocols. The protocols listed below were developed by Southeast Georgia Health System physicians and therapists and are intended for use by clinicians and patients alike. These protocols are listed by diagnosis, so clinicians who are providing patient care may reference the applicable protocol to help rehabilitate their patient. The long head of the biceps tendon (LHBT) originates approximately 50% from the superior glenoid tubercle and the remainder from the superior labrum, with 4 different variations identified. 73 The proximal tendon is richly innervated, with sensory nerve fibers containing substance P and calcitonin generelated peptide. These substances are responsible for vasodilatation and plasma extravasation. A biceps tendon rupture is a condition characterized by complete tearing of one or more tendons of the biceps muscle. The muscle at the front of the upper arm is known as the biceps. The biceps originates from the front of the shoulder blade (attaching here via the short and long head of biceps) and inserts into the forearm via the distal.

Proximal hamstring tears are among the most common sports-related injuries. These injuries often occur as strains or partial tears at the proximal muscle belly or the musculotendinous junction, with avulsion injuries of the proximal attachment occurring less frequently. Regardless of the mechanism, they produce functional impairment and negatively affect an athlete's performance Physical therapy for this injury is designed to first protect the surgical repair, and then gradually to restore functionality with a steady progress in exercise intensity. Discussion. This Technical Note details our technique for an anatomic proximal hamstring repair Repair of the biceps tendon End of tendon trimmed Sutures placed Figure 2: Distal biceps.− Light strengthening exercises are initiated with light tubing or 2-3 pound weights for elbow flexion, extension, forearm rotation and wrist flexion and extension. − Ice is continued after strengthening exercises. Biceps stretch:Stand facing a wall. Proximal biceps tendon surgical repair is not often indicated in those over the age of 50. With physical therapy, functional limitations of activities involving supination and flexion are unusual because the short head of the biceps remains intact. In active individuals under the age of 50, surgical repair is often indicated

Biceps tendonitis. Biceps tendinitis is inflammation or irritation of the upper biceps tendon, called the long head, which connects your biceps muscle to the bones in your shoulder joint. Biceps tendonitis is typically caused by repetitive motion in sports or work activities, so it can develop at the same time as rotator cuff tendonitis because. The long head of the biceps tendon is attached at the top of the shoulder joint. The short head is attached to your shoulder blade. A tear or rupture of the proximal biceps tendons is called a proximal biceps tendon rupture. Usually, the long head tendon is ruptured. The rupture may be partial or complete Distal biceps tendon rupture was first described in early 20th century, actually in 1898, in a paper written by Aquaviva. 1 Until today, the best method of surgical intervention for distal biceps tendon rupture remains a challenge. Early references suggest that this type of injury accounts for 3% of all injuries involving biceps muscles. Background. A proximal hamstring injury (injury to the hamstring closest to the buttock) is a common sports related injury that often occurs during the eccentric phase of muscle contraction where the muscle begins contracting in an elongated position.. There are 3 big muscles in the hamstring (HS) called the semimembranosus, semitendinosus, and the biceps femoris