The Injury Mechanism of Achilles Tendon Rupture in Professional Athletes: A Video Analysis Study.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-05-01 DOI:10.7547/21-196
Ali Yüce, Mustafa Yerli, Abdulhamit Misir
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Abstract

Background: In professional athletes, Achilles tendon ruptures are devastating injuries, often resulting in season loss or decreased return to sports level. We aimed to perform a comprehensive video analysis to describe the mechanisms of Achilles tendon rupture as well as body posture in professional athletes. We hypothesized that Achilles tendon ruptures in professional athletes develop with a specific injury mechanism and that body posture at the time of injury varies by sport.

Methods: Of 114 identified Achilles tendon ruptures that occurred in professional athletes between 1970 and 2020, 42 with adequate video data were analyzed for injury mechanism, body posture, and player and sport characteristics by three independent reviewers.

Results: Mean ± SD age of the 42 athletes (41 men and 1 woman) was 28.4 ± 4.26 years. Eighteen athletes played basketball (42.9%), 14 football (33.3%), five soccer (11.9%), three baseball (7.1%), and two rugby (4.8%). Thirty-five patients (83.3%) had noncontact injuries. The most frequent months of injury were January (16.7%) and October (14.3%). During Achilles tendon rupture, the ankle was in dorsiflexion, the body was bent forward, the knee and hip were in extension, and the foot was in a neutral position. Most injuries occurred during take-off/acceleration (40.5%) or stop and turn (38.5%) maneuvers.

Conclusions: In professional athletes, the Achilles tendon most often ruptures during take-off/acceleration. The most common position during rupture is the trunk in flexion, the knee and hip in extension, and the ankle in dorsiflexion. This information can guide professional athletes in terms of physical therapy techniques, including neuromuscular training, proprioception, and balance training specific to preventing Achilles tendon rupture.

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职业运动员跟腱断裂的损伤机制:视频分析研究。
背景:在职业运动员中,跟腱断裂是一种破坏性损伤,通常会导致赛季报销或运动水平恢复能力下降。我们的目标是进行全面的视频分析,以描述专业运动员跟腱断裂的机制以及身体姿势。我们假设,职业运动员跟腱断裂的发生有其特定的损伤机制,而受伤时的身体姿势因运动而异:在 1970 年至 2020 年间已确认的 114 例职业运动员跟腱断裂中,有 42 例有足够的视频数据,由三名独立审查员对其损伤机制、身体姿势、球员和运动特征进行了分析:42 名运动员(41 名男性和 1 名女性)的平均年龄为 28.4±4.26 岁。18名运动员从事篮球运动(42.9%),14名运动员从事足球运动(33.3%),5名运动员从事足球运动(11.9%),3名运动员从事棒球运动(7.1%),2名运动员从事橄榄球运动(4.8%)。35名患者(83.3%)为非接触性受伤。受伤最频繁的月份是一月(16.7%)和十月(14.3%)。跟腱断裂时,踝关节处于背屈状态,身体向前弯曲,膝关节和髋关节处于伸展状态,脚处于中立位置。大多数损伤发生在起飞/加速(40.5%)或停止和转弯(38.5%)动作中:结论:职业运动员的跟腱最常在起跑/加速时断裂。断裂时最常见的位置是躯干处于屈曲状态,膝关节和髋关节处于伸展状态,踝关节处于背屈状态。这些信息可以指导专业运动员采用物理治疗技术,包括神经肌肉训练、本体感觉和平衡训练,以预防跟腱断裂。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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