Epidemiology rupture of the achilles tendon

Epidemiology about a rupture of  the achilles tendon

Achillispees rupture In spite of the fact that the Achilles tendon is the strongest tendon in the human body, it appears to be frequently effected.1
Incidence: The incidence of unilateral ruptures lies between 6 and 37 per 100,000 persons per year and shows a dichotomy in the age distribution.2
Prevalence Complaints to the Achilles tendon are common in athletes in jumping, sprint, and ball sport disciplines. Abnormalities that are found range from mild tendonitis complaints to complete rupture.
Function of the tendon: The Achilles tendon is the strongest and largest tendon in the body. It is the conjoined tendon of the gastrocnemius and the soleus muscles, and may have a small contribution from the plantaris. The muscles and the Achilles tendon are in the posterior, superficial compartment of the calf. Through the Achilles tendon, they are the main plantar flexors of the ankle. The Achilles tendon is subjected to the highest loads in the body, with tensile loads up to ten times body weight during running, jumping, hopping, and skipping4.
Sex: The pathology is more common in men than in women, with a ratio of about 5,5:12
Age: The first peak occurs between the ages of 30 to 40 years, with the ruptures being almost entirely attributed to sport traumata. The second peak appears between the 70th and 80th year of life and has nothing to do with sports, but is due to degeneration.
Pain location: The location of pain in a rupture of the Achilles tendon is located in the ankle and calf muscle.
Pain sensation/ Symptoms: Snapping sound, sharp pain when tendon is torn. Sharp pain settles quickly.

After injury the person will experience: Inability to stand on tiptoe, bruising, swelling. You might be able to walk and bear weight but not be able to push of the ground on the affected side(tiptoe).

Provocation: Everything except sitting and lying down.
Reduction: Bed rest, sitting
History of injury / Etiology of labral tears: The cause of an Achilles tendon rupture is often a repetition of micro injury or acute overload. Also corticosteroid injections in and around the tendon can cause ruptures. This would interfere with the normal healing process.3
  1. Hartgerink P, Fessell DP, Jacobson JA, van Holsbeeck MT. Full- versus partial-thickness Achilles Tendon tears: sonographic accuracy and characterization in 26 cases with surgical correlation. Radiology 2001; 220 (2):406 -12
  2. Wolf  M M. de, Krans A. van der en Frijns, C.J.M. Spontane bilaterale achillespeesruptuur bij een oudere vrouw met prednisonstootkuren en in de voorgeschiedenis polymyalgia rheumatica. Nederlands Tijdschrift voor Geneeskunde 2006; 150: 2155-2158
  3. Migielski R. management of partial tears of the gastro-soleus complex. Clinics in sports medicine 2008; 27(1): 219 -29
  4. Moira O’Brein, The Anatomy of the Achilles Tendon. Foot and Ankle Clinics; Volume 10, Issue2 June 2005, Pages 225-238


Leave a Reply