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Increasing age in Achilles rupture patients over time
Gavin Ho1, Direk Tantigate1, Josh Kirschenbaum1
1Columbia University Medical Center/New York Presbyterian Hospital, 622 West 168th Street, PH-11, New York, NY 10032, United States.
Injury
|May 2, 2017
Summary
The average age of Achilles tendon rupture (ATR) patients has significantly increased since 1953. This trend indicates a shift in the demographic profile of individuals experiencing this common lower extremity injury.
Area of Science:
- Orthopedics
- Sports Medicine
- Epidemiology
Background:
- Demographic shifts in Achilles tendon rupture (ATR) patients require investigation.
- A suspected increase in the mean age of ATR patients warrants objective analysis.
Purpose of the Study:
- To objectively demonstrate the trend of increasing patient age in Achilles tendon ruptures over time.
Main Methods:
- A systematic literature search identified 142 studies on Achilles tendon ruptures (1953-2014).
- Demographic data, including mean age, gender, and injury-related factors, were extracted.
- Linear regression analysis assessed trends in patient demographics over time.
Main Results:
- A statistically significant increase in the mean age of ATR patients was observed over time (P<0.0005).
- The percentage of male patients experiencing ATR significantly decreased over the study period (P=0.02).
- No significant trends were found for athletics-related injuries, smoking rates, or BMI.
Conclusions:
- The mean age of Achilles tendon rupture occurrence has risen by at least 0.721 years every five years since 1953.
- Concurrently, the proportion of female patients with ATR has increased by at least 0.6% every five years.
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