Achilles Tendon Injuries More Likely in Male 'Weekend Warriors' Than Others
Apr 23, 2013 - 9:34:39 PM
Drs. Steven Raikin, David Garras and Philip Krapchev reviewed 406 records from patients at one clinic diagnosed with Achilles tendon injuries from August 2000 and December 2010. The average age was 46 years old, 83% of the patients were males, and sports were responsible for 68% of the ruptures.
The most common sports involved were basketball (32% of all ruptures), tennis (9%), and football (8%). Among patients younger than 55 years of age, 77% of ruptures occurred during sports, compared to 42% of the patients 55 or older.
Older patients, and those whose BMI (body-mass index) was greater than 30, were more likely to have non-sports related causes and were more likely to not have been diagnosed correctly at the time of injury. Greater than one-third of the tendon ruptures not caused by sports occurred at work. When the diagnosis was missed, it was usually because the initial diagnosis was an ankle sprain.
"Delayed diagnosis and treatment have been shown to result in poorer outcomes," says Steven Raikin, MD, of the Rothman Institute in Philadelphia, PA, and American Orthopaedic Foot & Ankle Society (AOFAS) member. "Older individuals, and those with a higher BMI, should be evaluated carefully if they have lower leg pain or swelling in the Achilles tendon region."
Re-rupture of the same tendon occurred in 5% of the group, and 6% of the study's population had previously ruptured the other leg's tendon. The study supported previous findings that an Achilles tendon rupture on one leg increases the likelihood of a rupture on the other leg. When the same tendon was re-ruptured, 85% of those injuries had not been treated surgically earlier.
For further information on how to take care of your feet and ankles, or to find a local orthopaedic foot and ankle surgeon, visit the American Orthopaedic Foot & Ankle Society patient website at www.footcaremd.org. Foot & Ankle International is published by SAGE.
"Achilles Tendon Injuries in a United States Population" by Steven M. Raikin, MD; David N. Garras, MD; and Philip V. Krapchev, MD published April 2013 in Foot & Ankle International. To read the full text of the article, free for a limited time, click here http://fai.sagepub.com/
About the AOFAS
The AOFAS promotes quality, ethical and cost-effective patient care through education, research and training of orthopaedic surgeons and other health care providers. It creates public awareness for the prevention and treatment of foot and ankle disorders, provides leadership, and serves as a resource for government, industry and the national and international health care community.
About Orthopaedic Foot and Ankle Surgeons
Orthopaedic foot and ankle surgeons are medical doctors (MD and DO) who specialize in the diagnosis, care, and treatment of patients with disorders of the musculoskeletal system of the foot and ankle. This includes the bones, joints, ligaments, muscles, tendons, nerves and skin. Orthopaedic foot and ankle surgeons use medical, physical, and rehabilitative methods as well as surgery to treat patients of all ages. They perform reconstructive procedures, treat sports injuries, and manage and treat trauma of the foot and ankle.
Orthopaedic foot and ankle surgeons work with physicians of many other specialties, including internal medicine, pediatrics, vascular surgery, endocrinology, radiology, anesthesiology, and others. Medical school curriculum and post-graduate training proves the solid clinical background necessary to recognize medical problems, admit patients to a hospital when necessary, and contribute significantly to the coordination of care appropriate to each patient.
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Web Site: http://www.aofas.org
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