The seasonal variation of Achilles tendon ruptures in Vancouver, Canada: a retrospective study

The incidence of Achilles tendon (AT) rupture, especially nonsport-related rupture, is increasing, while the reasons for this increase are largely unknown. The association between the AT rupture and the use of various drug treatments was studied. We collected AT rupture patients from the Finnish Hospital Discharge Register. We also acquired information about all the doctor-prescribed drugs they had purchased within 1 year before the rupture. For comparison, we randomly selected age- and sex-matched controls from the Finnish Population Register. There were 1118 AT rupture patients. Several drug groups had a statistically significant association with the AT rupture. Our study confirmed an association between fluoroquinolone antibiotics and AT rupture (OR 2.20, P = 0.005). A statistically significant association of renin-angiotensin II receptor antagonists with tendon rupture (OR 7.59, P = 0.003) was a previously unreported finding. The increasing incidence of AT rupture, especially in middle-aged and elderly patients, might partially be a consequence of the increased use of certain drug treatments. Some associations are probably explained by the symptomatic treatment of the painful tendon before the rupture.

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“…Most AT ruptures are sport‐related . A significant proportion of ruptures is associated with ball games .…”

Section: Introductionmentioning

confidence: 99%

“…4 Most AT ruptures are sport-related. 5 A significant proportion of ruptures is associated with ball games. 6 The variation in sport activities might be one reason for the increasing incidence.…”

Section: Introductionmentioning

confidence: 99%

Drug treatments associated with Achilles tendon rupture. A case‐control study involving 1118 Achilles tendon ruptures

Nyyssönen

Lantto

Lüthje

et al. 2018

Scandinavian Med Sci Sports

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“…It has been observed that incidence of AT injuries increases dramatically with sport seasons and around 76% of AT injuries studied by Scott et al were sport-related [52]. Hindfoot hypermobility as well as gastroc-soleus incompetence could be a factor in formation of AT tendinopathy among runners based on a biomechanical research study [53].…”

Section: Risk Factors and Patho-etiologymentioning

confidence: 98%

“…Traditionally, middle age group male subjects with irregular sports involvement were considered candidates for AT disorders [50,51]. Neither age nor gender has been proven as a risk factor for AT pathologies [42,52].…”

Section: Risk Factors and Patho-etiologymentioning

confidence: 99%

Achilles Tendon and Athletes

Alrashidi¹,

Fernandez-Marin²,

Galhoum³

et al. 2018

Update in Management of Foot and Ankle Disorders

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Achilles tendon (AT) is the strongest human tendon. AT disorders are common among athletes. AT pathologies vary from tendinopathy to frank rupture. Diagnosis is made clinically. Imaging modalities are used adjunctively. Management of AT rupture in athletes is challenging to surgeons due to worldwide growing popularity of sports and potential social and financial impact of AT injury to an athlete. Hence, new surgical techniques aim at attaining quick recovery with good outcome, finding similar results with both open and percutaneous techniques when accompanying these with functional rehabilitation protocols. Non-operative strategies include shoe wear modification, physiotherapy and extracorporeal shock wave therapy. Surgical interventions vary based on the AT pathology nature and extent. Direct repair can work for small-sized defects. V-Y gastrocnemius advancement could approximate the tendon edges for repair within 2-8 cm original gap. Gastrocnemius turndown can bridge tendon loss > 8 cm. Autogenous, allogeneous or synthetic tendon grafts were used for AT reconstruction purposes. In AT tendinopathies with no tendon tissue loss, surgical procedures revolve around induction of tissue repair through lesion incision or debridement to full detachment followed by reattachment. Extra-precautions are exercised for prevention of AT disorders especially among susceptible athletes participating in sports involving excessive AT strain.

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“…There has been an increased incidence in recent years among both men and women [7] with a peak in the spring that may be due to the increased frequency of adults playing recreational sports [8].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Complications after Primary Repair of Achilles Tendon Ruptures

Pean

Christiano

Rubenstein

et al. 2017

Clin Res Foot Ankle

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Background: Operative treatment of Achilles tendon ruptures is associated with lower rates of rereupture compared to nonoperative treatment. However, concerns regarding adverse events (AE) in the postoperative period such as wound complications and surgical site infection (SSI) persist. The purpose of this study was to identify patient characteristics associated with the occurrence of adverse events in Achilles tendon rupture (ATR) surgical repair cases.

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The seasonal variation of Achilles tendon ruptures in Vancouver, Canada: a retrospective study

Cited by 22 publications

References 26 publications

Drug treatments associated with Achilles tendon rupture. A case‐control study involving 1118 Achilles tendon ruptures

Drug treatments associated with Achilles tendon rupture. A case‐control study involving 1118 Achilles tendon ruptures

Achilles Tendon and Athletes

Risk Factors for Complications after Primary Repair of Achilles Tendon Ruptures

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