Epidemiology of Achilles tendon injuries in collegiate level athletes in the United States.
Achilles Tendon
/ injuries
Ankle Injuries
/ epidemiology
Athletes
Athletic Injuries
/ epidemiology
Female
Humans
Incidence
Male
Sex Factors
Sports
/ statistics & numerical data
Students
/ statistics & numerical data
Tendon Injuries
/ epidemiology
United States
/ epidemiology
Universities
/ statistics & numerical data
Achilles injury
NCAA
SAS
Journal
International orthopaedics
ISSN: 1432-5195
Titre abrégé: Int Orthop
Pays: Germany
ID NLM: 7705431
Informations de publication
Date de publication:
03 2020
03 2020
Historique:
received:
22
10
2019
accepted:
11
12
2019
pubmed:
8
1
2020
medline:
15
12
2020
entrez:
8
1
2020
Statut:
ppublish
Résumé
Achilles injuries are devastating injuries, especially for competitive athletes. No studies have examined the outcomes of Achilles injuries in NCAA athletes. Therefore, a better characterization and understanding of the epidemiology is crucial. Achilles injuries across 16 sports among NCAA men and women during the 2004-2005 to 2013-2014 academic years were analyzed using the NCAA Injury Surveillance Program (NCAA-ISP). Achilles tendon injury rate (IR) per 100,000 athlete-exposures (AEs), operative rate, annual injury rate trends, reinjury rates, mechanism of injury, in-season status (pre/regular/post season), and time loss distributions were compiled and calculated. A sub-analysis of comparing gender and injury mechanism was also performed for both all injuries and severe injuries. Overall, N = 255 Achilles injuries were identified with an injury rate (IR) of 2.17 (per 100,000 AEs). These injuries occurred most often in women's gymnastics (IR = 16.73), men's basketball (IR = 4.26), and women's basketball (IR = 3.32), respectively. N = 52 injuries were classified as severe injuries which have higher median time loss (48 days) and higher operative rate (65.4%). For severe Achilles injuries, female athletes had higher operative (77.8% vs. 58.8%) and higher time loss compared to male athletes (96 days vs. 48 days). Contact mechanisms were associated with a higher season-ending injury rate. Overall, 20.4% of Achilles injuries were considered severe with 65.6% operative rate. About 73.1% were season-ending injuries, and the remaining athletes have a median time loss of 48 days. Severe Achilles injuries create significant impact on playing time and career for NCAA athletes.
Sections du résumé
BACKGROUND
Achilles injuries are devastating injuries, especially for competitive athletes. No studies have examined the outcomes of Achilles injuries in NCAA athletes. Therefore, a better characterization and understanding of the epidemiology is crucial.
METHODS
Achilles injuries across 16 sports among NCAA men and women during the 2004-2005 to 2013-2014 academic years were analyzed using the NCAA Injury Surveillance Program (NCAA-ISP). Achilles tendon injury rate (IR) per 100,000 athlete-exposures (AEs), operative rate, annual injury rate trends, reinjury rates, mechanism of injury, in-season status (pre/regular/post season), and time loss distributions were compiled and calculated. A sub-analysis of comparing gender and injury mechanism was also performed for both all injuries and severe injuries.
RESULTS
Overall, N = 255 Achilles injuries were identified with an injury rate (IR) of 2.17 (per 100,000 AEs). These injuries occurred most often in women's gymnastics (IR = 16.73), men's basketball (IR = 4.26), and women's basketball (IR = 3.32), respectively. N = 52 injuries were classified as severe injuries which have higher median time loss (48 days) and higher operative rate (65.4%). For severe Achilles injuries, female athletes had higher operative (77.8% vs. 58.8%) and higher time loss compared to male athletes (96 days vs. 48 days). Contact mechanisms were associated with a higher season-ending injury rate.
CONCLUSION
Overall, 20.4% of Achilles injuries were considered severe with 65.6% operative rate. About 73.1% were season-ending injuries, and the remaining athletes have a median time loss of 48 days. Severe Achilles injuries create significant impact on playing time and career for NCAA athletes.
Identifiants
pubmed: 31907586
doi: 10.1007/s00264-019-04471-2
pii: 10.1007/s00264-019-04471-2
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
585-594Références
Foot Ankle Clin. 2005 Jun;10(2):255-66
pubmed: 15922917
Med Sci Sports Exerc. 2000 Feb;32(2):271-7
pubmed: 10694106
BMC Musculoskelet Disord. 2019 Feb 11;20(1):69
pubmed: 30744626
Scand J Med Sci Sports. 2014 Feb;24(1):152-8
pubmed: 22716232
J Appl Physiol (1985). 2005 Nov;99(5):1965-71
pubmed: 16081623
Injury. 2017 Jul;48(7):1701-1709
pubmed: 28457569
Foot Ankle Int. 2013 Jan;34(1):49-53
pubmed: 23386761
Clin Sports Med. 1992 Jul;11(3):505-20
pubmed: 1638638
Orthop J Sports Med. 2018 Nov 26;6(11):2325967118808238
pubmed: 30505872
J Athl Train. 2014 Jul-Aug;49(4):552-60
pubmed: 24870292
Aust J Physiother. 1998;44(3):165-172
pubmed: 11676730
Am J Sports Med. 2017 Apr;45(5):1124-1133
pubmed: 28186834
Clin Orthop Relat Res. 1989 Jun;(243):306-11
pubmed: 2721072
Am J Sports Med. 2010 Nov;38(11):2186-93
pubmed: 20802094
Sports Med. 1998 Feb;25(2):79-100
pubmed: 9519398
J Appl Physiol (1985). 2008 Oct;105(4):1035-43
pubmed: 18566188
Orthop J Sports Med. 2015 May 29;3(6):2325967115586768
pubmed: 26665094