Hamstring strains are common injuries in sports. Knowledge about their etio
logy and localization is, however, limited, The two cases described here bo
th had acute hamstring strains, but the etiologies were entirely different.
The sprinter was injured when running at maximal speed, whereas the hamstr
ing strain in the dancer occurred during slow stretching. Also the anatomic
al localizations of the injuries clearly differed. Magnetic resonance imagi
ng (MRI) revealed pathological changes in the distal semitendinosus muscle
in the sprinter and the proximal tendon of the semimembranosus muscle in th
e dancer. Subjectively, both athletes severely underestimated the recovery
time. These case observations suggest a possible link between etiology and
localization of hamstring strains.