Incidence and Treatment Trends of Achilles Tendon Ruptures in Finland: A Nationwide Study

Abstract

Background: Global reports indicate rising Achilles tendon rupture (ATR) incidence. In recent decades, the optimal treatment for this injury has been widely studied. Alongside the cumulating comparative evidence regarding the optimal method of treatment, nonoperative treatment has increased in popularity compared with operative treatment. Purpose: To determine the current incidence of ATRs and their treatment in Finland and how these have changed from 1997 to 2019. Study Design: Descriptive epidemiology study. Methods: Two national registers (the National Hospital Discharge Register and the Finnish Register of Primary Health Care Visits) were used to identify all ATR cases and operations to treat them; the incidence was calculated based on the annual adult population size. Results: During the study period, ATR incidence increased from 17.3 to 32.3 per 100,000 person-years. The increase in incidence seemed to plateau starting in the second half of the study period. The rise in ATR incidence occurred in both sexes and all age groups but most markedly among the elderly. The incidence of operative treatment decreased from 13.6 to 4.9 per 100,000 person-years. This decline was observed from 2008 onward and in all age groups. Conclusion: The incidence of ATRs increased and the use of operative treatment decreased. The decreasing trend of operative treatment is in line with other international reports and resonates with the current literature about the optimal treatment of ATRs.

Reliability and validation of the German Achilles tendon Total Rupture Score

“…The incidence of Achilles tendon ruptures (ATRs) is still increasing, the number raised between 1997 and 2019 from 17.3 to 32.3 per 100,000 person‐years [1]. Furthermore, ATR is the most prevalent tendon rupture in the human body, sporting activity is responsible for most of ATR (68%) [2], whereas bilateral ruptures represent a rare injury [3].…”

Validity and reliability of the Thai version of the Achilles tendon total rupture score

“…Achilles tendon rupture (ATR) is the most common tendon rupture in the human body, with an incidence varying from 15 to 55 per 100,000 person‐years [16, 20, 26, 33, 37]. ATR causes acute pain, decreased muscle strength, physical dysfunction and limitation of activities of daily living [43].…”

Comparison between primary repair and augmented repair with gastrocnemius turn-down flap for acute Achilles tendon rupture: a retrospective study with minimum 2-year follow-up

“…Acute Achilles tendon rupture is a common form of acute lower-extremity trauma that is particularly prevalent among men aged 30 to 50 years. The incidence of Achilles tendon rupture has increased from 17.3 to 32.3 per 100,000 person-years during the last decade [ 1 ]. Risk factors have included, but not limited to, corticosteroids, fluoroquinolones, and repetitive microtrauma [ 2 ].…”