MD, PhD - Orthopedic surgeon & researcher focusing on hamstring tendon injury at Amsterdam UMC, University of Amsterdam

Amsterdam, Nederland
Joined November 2014
Different anatomic patterns of the indirect tendon of the rectus femoris pmc.ncbi.nlm.nih.gov/article…
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🏔️ Olympic Medicine UNCOVERED | Milano Cortina 2026 Get access to the medical minds behind Olympic excellence. Chief Medical Officers reveal what really happens in elite winter sports healthcare—from high-velocity injuries to split-second decisions on ice. tinyurl.com/2fwdsmwv
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What structures in the knee hurt the most? Well how about having someone poke around inside your knee WITHOUT anaesthesia to find out like the legend Scott Dye did here! 😳🤯 pubmed.ncbi.nlm.nih.gov/9850…
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❄️ Cryotherapy in the postoperative care of musculoskeletal disorders 💪 NEW #BJSMBlog explores a recent study on this topic ✅ Link ➡️ bit.ly/4re0McE
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Delighted to see this editorial out in @BJSM_BMJ We talk so much about T-junction hamstring injuries, but opinion’s outpacing research (I’m as guilty as anyone). Big topic in sports medicine/rehab, yet still so little high-quality evidence to guide. bjsm.bmj.com/content/early/2…
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Sliding hip screws versus cancellous screws for femoral neck fractures in 1934 patients. Based on our study, the cancellous screws group was associated with less intraoperative blood loss in comparison with the SHS group. No other significant differences were found between the two interventions. pubmed.ncbi.nlm.nih.gov/3116…
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Just published 🔥 Heavy Slow Resistance Training 🏋️‍♂️ Combined with Patient Education in Patients with Gluteal Tendinopathy: A Feasibility Study sciencedirect.com/science/ar…
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Cortisol from exercising suppresses the subsequent cortisol response to a stressor. Exercise before doing something stressful.
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NO ASSOCIATION BETWEEN PREPROCEDURAL FASTING AND WITNESSED PULMONARY ASPIRATION A SYSTEMATIC REVIEW AND META-ANALYSIS I want to bring to everyone's attention the publication of an article we have been working on for some time. Ever been annoyed by having cases cancelled because a patient ate recently? I had this happen a couple of years ago. This motivated me to look at the preoperative fasting literature. I was surprised to learn how little actual evidence there is to support fasting policies. In our recent publication we point out that 1) aspiration rates are no different now than they were before fasting was imposed before administering anesthesia 2) The studies used in fasting research use surrogate outcomes that have never been shown to be relevant to human aspiration events. See the article published in Surgery (@SurgJournal) here: sciencedirect.com/science/ar… There is a pressing need to rethink preoperative fasting policies. New studies are needed that employ proper endpoints to provide guidance for how long patients really need to fast. My guess is, not very long.
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Interested in FAIS Cam and pincer What do we look at on imaging Check out new free resource on Radiology Assistant @loes made some nice figures! See link radiologyassistant.nl/muscul… Please share
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Great new SR/MA by @AvanderMade at a time when I feel we are may be at the point of no return when it comes to “muscle-tendon” injuries in football. Not all “tendon” injuries are BAD but it’s rife amongst clincians and we’ve dragged coaches and players into believing this too!
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When the syndesmosis is over compressed, the talus is spit forwards. It’s subtle if you’re not looking for it, but once you see it, don’t neglect it. It’s a subluxed incongruent ankle joint. #OrthoX
See what’s wrong here?  The large clamp across the ankle is not ‘reducing’ the syndesmosis, it is ‘over compressing’ it. There is a reason we use Position screws across the syndesmosis and not Lag screws. Don’t over compress the syndesmosis, it will push/spit the Talus. #OrthoX
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🚨🚨groin pain cheat table - updated! 🚨🚨 Groin injury clinical tests lack specificity with a large overlap across conditions... This makes the history, pain pattern, behaviour & mechanism of injury even more crucial Hopefully this table I've made will help you navigate⬇️
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Published today in @OJSM_SportsMed ! MRI in hip flexion offers additional value in the diagnosis of proximal hamstring tendinopathy. Thanks for the co-authors @DocXValle @PrunaDoc @carlespedret @Dr_Ramon_Balius and others. Read the article here: journals.sagepub.com/doi/10.…
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🚨New open access publication alert!🚨 Hamstring Muscle-Tendon Geometric Adaptations to Resistance Training Using the Hip Extension and Nordic Hamstring Exercises Article available here: onlinelibrary.wiley.com/doi/… A short summary 🧵 below 👇🏻
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Replying to @Rbnvrmln
@Rbnvrmln gets all the kudos for getting this one over the line! Some more evidence for #hamstring mechanism of injury, describing injury situation. #spoileralert - it's not all about high speed running! Out now in @BJSM_BMJ bjsm.bmj.com/content/early/2…
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⚽️Degloving intramuscular injuries of the semimembranosus and adductor longus muscles in adolescent soccer players... Degloving muscle injury was described for the rectus femoris where the inner bipennate component is dissociated from its superficial unipennate component. The semimembranosus muscle displays a distinctive dual morphology, featuring both unipennate and bipennate muscle fibers.Nevertheless, this specific tear pattern has not been previously documented. Conversely, the adductor longus muscle showcases an elongated intramuscular tendon segment, indicating a multipennate morphology. Two separate cases of previous undescribed degloving injuries of the semimembranosus and the adductor longus in teenage soccer players with MRI and ultrasound diagnosis, ultrasound-guided hematoma aspiration, and recovery timelines for return-to-play. 🔗Open Access 👉 rdcu.be/dOK5i ✍️: @MarceloBordalo , @PauloHelito @DrJuanMAlonso
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#ParisOlympics 🗼 Management of Hamstring and Rectus Femoris Tendon Injury in Elite Track and Field Athletes There is little debate on the relevance of thigh muscle injury in elite sports. Their incidence, impact on athletic as well as team performance, and tendency to recur make them a daily challenge for medical staff. This applies especially to injuries involving the hamstrings and quadriceps, which are the most frequently injured muscle groups. The majority of muscle injuries in various sports are magnetic resonance imaging (MRI)-negative injuries and partial tears at the musculotendinous junction (MTJ)5. In general, these injuries are successfully treated non-operatively by means of a progressive/phased rehabilitation programme. Injuries involving the tendon, however, are regarded as a different clinical entity. These injuries can involve the ‘free’ and ‘intramuscular’ tendon Full-thickness free tendon injuries (i.e. tendon avulsion or rupture) are characterised by complete discontinuity between muscle origin and insertion, with evident loss of function. Intramuscular tendon injuries (partial- or full-thickness) do not result in complete discontinuity between muscle origin and insertion, but have nonetheless gained notoriety in the last decade; these injuries might be associated with worse prognosis in terms of time to return to play (RTP) and reinjury rate. As a result, and depending on the context, tendon injury may warrant surgical consultation for optimal shared treatment decision-making. Therefore, recognition of these injuries is paramount. In hamstring and rectus femoris injury, tendon injury represents a distinct clinical entity. In elite track and field athletes, surgical consultation is advised in case of full-thickness free tendon injuries. Operative repair by means of suture anchors might be indicated for retracted proximal tendon avulsions/ruptures in order to improve recovery of function, rate of return to performance, and reinjury rate. Intramuscular tendon injuries may be associated with an extended return to play duration and increased reinjury rate, but available evidence is constrained by high risk of bias. Based on the current evidence, these injuries may potentially benefit from an adapted rehabilitation programme to improve outcomes, but high-level evidence is required for confirmation. Operative treatment is likely not indicated for acute, first-time injuries, but may be considered for chronic/recurrent intramuscular tendon injuries. 🔗Read More 👉 journal.aspetar.com/en/archi… ✍️Written by: @AvanderMade & @KerkhoffsG
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Spanning 160 pages ↘️ #OpenAccess 🆕 We are thrilled to unveil the much-anticipated ‘Olympic Special’ edition of the Aspetar Sports Medicine Journal. 🎯 Titled ‘Sports Medicine in Athletics’ Under the expert guidance of our Guest Editors, @DrJuanMAlonso , @Jenny_Jacobsson , and @DrPaulDijkstra , This edition features an exceptional compilation of articles Topics cover a broad spectrum, including: 🎯 Musculoskeletal injuries in athletics, innovative strategies for injuries and illness prevention, the evolving role of podiatry in athletics, crucial insights into mental health for athletes, and much more. 🔗 Download your free copy 👉 journal.aspetar.com/en/archi… @EvanJeanguyot @PascalEdouard42 , @JoosteMarcel , @ephysiol @margomountjoy , @jennaschulz_1 , @JaneSThornton , @Prof_G_Pieles , @paulread1010 , @PhilipGrahamSm2
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Tennis Elbow (Lateral Epicondylitis) ▪️usually resolves in 6-12 months ▪️no strong evidence to support any intervention ▪️limited evidence👉physiotherapy ▪️steroid injections👉short term pain relief (long-term adverse effects) ▪️surgery👉rarely indicated nejm.org/doi/full/10.1056/NE…
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