2nd Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Department of Orthopaedic Surgery and Sports Medicine, Aspetar Hospital, Doha, Qatar ; and.
Clin J Sport Med. 2022 Jan 1;32(1):e90-e95. doi: 10.1097/JSM.0000000000000879.
To evaluate the epidemiology, incidence rate, incidence proportion, and prevalence of Achilles tendon ruptures (ATRs) in professional footballers and their performance after the injury.
Professional male footballers participating in Serie A in 11 consecutive seasons (2008/2009-2018/2019) were screened to identify ATRs through the online football archive transfermarkt.com. Exposure in matches and training was calculated. The number of matches played in the 5 seasons before and after ATRs was obtained, when possible, together with transfers to a different team or participation in lower Divisions.
Eleven ATRs were found in 11 footballers with a mean age of 29.8 ± 4.4 years; 72% of ATR involved the nondominant leg; 58% occurred during matches and 42% during training, with no peculiar distribution along the playing season. The overall incidence proportion was 0.17% (0.11% during matches and 0.06% during training). The overall incidence rate was 0.007 injuries per 1000 hours of play (0.051 during matches and 0.003during training; P < 0.0001). All players returned to play soccer after a mean of 170 ± 35 days after ATRs and participated in an official match after a mean of 274 ± 98 days. However, 2 seasons after ATRs, 3 footballers were playing in a lower Division; 1 played less than 10 matches (compared with >25 matches in the 5 seasons before an ATR) and 1 had retired.
An overall ATR rate of 0.007 per 1000 hours of soccer play and an incidence proportion of 0.17% were reported. All footballers return to play; however, up to 40% players decreased the level of play by reducing the number of games or participating in a lower Division 2 seasons after an ATR.
评估职业足球运动员跟腱断裂（ATRs）的流行病学、发生率、发生率比例和患病率，以及他们受伤后的表现。
通过在线足球档案 transfermarkt.com 筛选参加连续 11 个赛季（2008/2009 年至 2018/2019 年）甲级联赛的职业男足球员，以确定 ATRs。计算比赛和训练中的暴露情况。尽可能获得 ATR 前后 5 个赛季的比赛场次，以及转会到不同球队或参加低级别联赛的情况。
在 11 名足球运动员中发现了 11 例 ATR，平均年龄为 29.8±4.4 岁；72%的 ATR 涉及非优势腿；58%发生在比赛中，42%发生在训练中，在整个赛季中没有特殊的分布。总发生率比例为 0.17%（比赛中为 0.11%，训练中为 0.06%）。总发生率为每 1000 小时比赛 0.007 次受伤（比赛中为 0.051 次，训练中为 0.003 次；P<0.0001）。所有运动员在 ATR 后平均 170±35 天恢复足球比赛，并在 ATR 后平均 274±98 天参加正式比赛。然而，在 ATR 后 2 个赛季，有 3 名球员在较低级别联赛中踢球；1 名球员的比赛场次少于 10 场（而在 ATR 前 5 个赛季的比赛场次超过 25 场），1 名球员已退役。
报告的总体 ATR 率为每 1000 小时足球比赛 0.007 次，发生率比例为 0.17%。所有运动员都恢复了比赛，但多达 40%的球员在 ATR 后 2 个赛季减少了比赛场次或参加低级别联赛，从而降低了比赛水平。
