Acute achilles tendon ruptures: Incidence of injury and surgery in Sweden between 2001 and 2012

Tuomas T. Huttunen, Pekka Kannus, Christer Rolf, Li Felländer-Tsai, Ville M. Mattila

    Research output: Contribution to journalArticleScientificpeer-review

    257 Citations (Scopus)

    Abstract

    Background: Population-based incidence rates and trends of acute Achilles tendon ruptures are not known. It is also not known whether recent high-quality randomized controlled trials not favoring surgery have had an effect on treatment protocols.

    Purpose: To assess the incidence of acute Achilles tendon ruptures in Sweden and to examine the trends in surgical treatment.

    Study Design: Descriptive epidemiology study.

    Methods: We conducted a nationwide registry-based study including all adult (18 years of age) inpatient and outpatient hospital visits because of an acute Achilles tendon rupture in Sweden between 2001 and 2012.

    Results: We identified a total of 27,702 patients (21,979 men, 79%) with acute Achilles tendon ruptures between 2001 and 2012. In 2001, the sex-specific incidence of acute Achilles tendon ruptures was 47.0 (per 100,000 person-years) in men and 12.0 in women. In 2012, the corresponding values were 55.2 in men and 14.7 in women, with an increase of 17% in men and 22% in women. The proportion of surgically treated patients declined from 43% in 2001 to 28% in 2012 in men and from 34% in 2001 to 22% in 2012 in women.

    Conclusion: The incidence of acute Achilles tendon ruptures in Sweden is increasing. The most probable reason for this increase is the rise in the number of older adults participating in high-demand sports. The proportion of surgically treated patients is decreasing most likely because of recent high-quality randomized controlled trials and their meta-analyses supporting similar results between surgical and nonsurgical approaches.

    Original languageEnglish
    Pages (from-to)2419-2423
    Number of pages5
    JournalAMERICAN JOURNAL OF SPORTS MEDICINE
    Volume42
    Issue number10
    DOIs
    Publication statusPublished - 2014
    Publication typeA1 Journal article-refereed

    Keywords

    • Achilles tendon
    • epidemiology
    • incidence
    • injury
    • surgical treatment

    Publication forum classification

    • Publication forum level 3

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