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Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions
Published on: October 27, 2023
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Characterization of Achilles Tendon Ruptures in Collegiate Women's Gymnastics
Orthopedics
|February 28, 2023
Summary
Collegiate female gymnasts frequently suffer Achilles tendon ruptures during floor exercise take-offs. Many experience pain beforehand, and over a third do not return to their previous competitive level.
Area of Science:
- Sports Medicine
- Orthopedics
- Biomechanics
Background:
- Achilles tendon ruptures pose a significant threat to collegiate female gymnasts' careers.
- Understanding injury patterns is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate the natural history of Achilles tendon ruptures in collegiate female gymnasts.
- To identify specific events, preceding symptoms, and functional outcomes associated with these injuries.
Main Methods:
- A retrospective survey was distributed to athletic trainers across 80 National Collegiate Athletic Association (NCAA) women's gymnastics programs.
- Data collected covered Achilles tendon injuries from the 2013 to 2018 NCAA seasons.
- Information included injury incidence, antecedent pain, injury circumstances, and post-injury functional status.
Main Results:
- Seventy-one Achilles tendon ruptures were reported, with 46% of athletes experiencing prior pain.
- 95% of ruptures occurred during floor exercise, specifically during the take-off phase of tumbling skills (98%).
- 61% of injured gymnasts returned to competition, but only 59% regained their prior functional level.
Conclusions:
- Achilles tendon ruptures in this population predominantly happen during the take-off phase of floor exercise tumbling.
- Further research into degenerative changes may be warranted.
- Collaborative prevention programs involving athletes, coaches, judges, and medical professionals are essential.

