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Related Experiment Videos

Racial differences in tendon rupture incidence.

B Owens1, S Mountcastle, D White

  • 1Department of Orthopaedic Surgery, Keller Army Hospital, West Point, NY, USA. b.owens@us.army.mil

International Journal of Sports Medicine
|March 16, 2007
PubMed
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Black U.S. service members have a significantly higher risk of major tendon ruptures, including quadriceps, patellar, and Achilles tendons, compared to their white counterparts. Further research into the underlying risk factors is recommended.

Area of Science:

  • Orthopedics
  • Epidemiology
  • Sports Medicine

Background:

  • Racial disparities in major tendon injuries are understudied.
  • Anecdotal evidence suggests potential differences, but literature is scarce.

Purpose of the Study:

  • To investigate the effect of race on the incidence of major tendon ruptures.
  • To quantify racial differences in quadriceps, patellar, and Achilles tendon ruptures.

Main Methods:

  • Utilized the U.S. Defense Medical Epidemiology Database (DMED).
  • Analyzed International Classification of Diseases, Ninth Revision, Clinical Modification codes for tendon ruptures.
  • Employed multivariate Poisson regression to control for demographic and service-related factors.

Main Results:

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  • Black service members showed significantly higher adjusted rate ratios for quadriceps tendon tears (2.89), patellar tendon tears (4.52), and Achilles tendon tears (3.58) compared to white service members.
  • All findings were statistically significant with 95% confidence intervals.

Conclusions:

  • Black U.S. service members exhibit a notable predisposition to major lower-extremity tendon ruptures.
  • Further investigation into the specific risk factors contributing to these racial differences is warranted.