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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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Pickleball and the Return to Sport After Achilles Tendon Rupture.
Adam J Lencer1, Joseph A S McCahon, Adam S Kohring
1From the Jefferson Health NJ, Stratford, NJ (Lencer, McCahon, and Kohring), the Rothman Orthopaedic Institute, Philadelphia, PA (Amponsah, Pedowitz, Parekh, and Daniel), and the Princeton University, Princeton, NJ (Parekh).
The Journal of the American Academy of Orthopaedic Surgeons
|November 7, 2025
Summary
Pickleball injuries, especially Achilles tendon ruptures in older adults, are rising. Many do not return to play due to fear of re-injury, despite similar outcomes for surgical vs. non-surgical treatments.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Geriatric Medicine
Background:
- Pickleball's rapid growth presents injury risks, particularly for the aging population.
- Acute Achilles tendon ruptures are a concern in this demographic.
- Understanding clinical outcomes and return to sport (RTS) is crucial.
Purpose of the Study:
- To investigate clinical outcomes and RTS after acute Achilles tendon rupture in pickleball players.
- To analyze injury patterns and patient demographics in this specific sports context.
Main Methods:
- Retrospective analysis of patients with acute Achilles tendon rupture from pickleball (2013-2023).
- Telephone follow-up to collect data on playing history, RTS, and Achilles Tendon Rupture Score (ATRS).
- Study design: Level IV retrospective case series.
Main Results:
- 28 patients (average age 63.9 years) were included; 67% response rate.
- 68% of injuries occurred within the first month of play; 32% were first-time players.
- No significant difference in ATRS or RTS between surgical and non-surgical groups; overall RTS rate was 47% at 1.6 years.
Conclusions:
- Pickleball's popularity increases injury risk for older adults.
- Over half of injured players do not return to sport, primarily due to fear of re-injury.
- Long-term outcomes are favorable regardless of treatment, but psychological factors impact RTS.
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