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

Scott A, Grewal N, Guy P - BMJ Open (2014)

Bottom Line: In total, 76% of cases were specified as sport related.The distribution of injuries varied significantly across seasons (χ(2), p<0.05), with significantly more cases occurring in spring.The increase in the number of cases in spring was due to sport-related injuries, whereas non-sport-related cases were distributed evenly throughout the year.

View Article: PubMed Central - PubMed

Affiliation: Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

ABSTRACT

Objective: To examine the seasonal distribution of tendon ruptures in a large cohort of patients from Vancouver, Canada.

Design: Retrospective chart review.

Setting: Acute Achilles tendon rupture cases that occurred from 1987 to 2010 at an academic hospital in Vancouver, Canada. Information was extracted from an orthopaedic database.

Participants: No direct contact was made with the participants. The following information was extracted from the OrthoTrauma database: age, sex, date of injury and season (winter, spring, summer and autumn), date of surgery if date of injury was unknown and type of injury (sport related or non-sport related/unspecified). Only acute Achilles tendon rupture cases were included; chronic cases were excluded along with those that were conservatively managed.

Primary and secondary outcomes: The primary outcome was to determine the seasonal pattern of Achilles tendon rupture. Secondary outcomes, such as differences in gender and mechanism of sport (non-sport vs sport related), were also assessed.

Results: There were 543 cases in total; 83% of the cases were men (average age 39.3) and 17% were women (average age 37.3). In total, 76% of cases were specified as sport related. The distribution of injuries varied significantly across seasons (χ(2), p<0.05), with significantly more cases occurring in spring. The increase in the number of cases in spring was due to sport-related injuries, whereas non-sport-related cases were distributed evenly throughout the year.

Conclusions: The seasonality of sport-related Achilles tendon ruptures should be considered when developing preventive strategies and when timing their delivery.

No MeSH data available.


Related in: MedlinePlus

Achilles tendon rupture cases in different age ranges recorded at Vancouver General Hospital between 1 January 1987 and 31 December 2010. A comparison is shown of the number of injuries in males and females, demonstrating a similar peak in the fourth decade for both genders.
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BMJOPEN2013004320F1: Achilles tendon rupture cases in different age ranges recorded at Vancouver General Hospital between 1 January 1987 and 31 December 2010. A comparison is shown of the number of injuries in males and females, demonstrating a similar peak in the fourth decade for both genders.

Mentions: A total of 543 Achilles tendon ruptures occurring between 1 January 1987 and 31 December 2010 were identified. The male : female ratio was 4.7 : 1 (448 males and 95 females). The mean age was 38.8 years (range 16–84). The peak age range was the same for men and women, 31–40, and the average age of men and women was similar (39.3 and 37.3, respectively; figure 1).


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

Scott A, Grewal N, Guy P - BMJ Open (2014)

Achilles tendon rupture cases in different age ranges recorded at Vancouver General Hospital between 1 January 1987 and 31 December 2010. A comparison is shown of the number of injuries in males and females, demonstrating a similar peak in the fourth decade for both genders.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3927994&req=5

BMJOPEN2013004320F1: Achilles tendon rupture cases in different age ranges recorded at Vancouver General Hospital between 1 January 1987 and 31 December 2010. A comparison is shown of the number of injuries in males and females, demonstrating a similar peak in the fourth decade for both genders.
Mentions: A total of 543 Achilles tendon ruptures occurring between 1 January 1987 and 31 December 2010 were identified. The male : female ratio was 4.7 : 1 (448 males and 95 females). The mean age was 38.8 years (range 16–84). The peak age range was the same for men and women, 31–40, and the average age of men and women was similar (39.3 and 37.3, respectively; figure 1).

Bottom Line: In total, 76% of cases were specified as sport related.The distribution of injuries varied significantly across seasons (χ(2), p<0.05), with significantly more cases occurring in spring.The increase in the number of cases in spring was due to sport-related injuries, whereas non-sport-related cases were distributed evenly throughout the year.

View Article: PubMed Central - PubMed

Affiliation: Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

ABSTRACT

Objective: To examine the seasonal distribution of tendon ruptures in a large cohort of patients from Vancouver, Canada.

Design: Retrospective chart review.

Setting: Acute Achilles tendon rupture cases that occurred from 1987 to 2010 at an academic hospital in Vancouver, Canada. Information was extracted from an orthopaedic database.

Participants: No direct contact was made with the participants. The following information was extracted from the OrthoTrauma database: age, sex, date of injury and season (winter, spring, summer and autumn), date of surgery if date of injury was unknown and type of injury (sport related or non-sport related/unspecified). Only acute Achilles tendon rupture cases were included; chronic cases were excluded along with those that were conservatively managed.

Primary and secondary outcomes: The primary outcome was to determine the seasonal pattern of Achilles tendon rupture. Secondary outcomes, such as differences in gender and mechanism of sport (non-sport vs sport related), were also assessed.

Results: There were 543 cases in total; 83% of the cases were men (average age 39.3) and 17% were women (average age 37.3). In total, 76% of cases were specified as sport related. The distribution of injuries varied significantly across seasons (χ(2), p<0.05), with significantly more cases occurring in spring. The increase in the number of cases in spring was due to sport-related injuries, whereas non-sport-related cases were distributed evenly throughout the year.

Conclusions: The seasonality of sport-related Achilles tendon ruptures should be considered when developing preventive strategies and when timing their delivery.

No MeSH data available.


Related in: MedlinePlus