Sports Orthopedic Research Center - Copenhagen (SORC-C), Arthroscopic Center, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.
Sports Orthopedic Research Center - Copenhagen (SORC-C), Arthroscopic Center, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark; Department of Physical and Occupational Therapy, Copenhagen University Hospital, Amager-Hvidovre, Denmark; Physical Medicine & Rehabilitation Research - Copenhagen (PMR-C), Copenhagen University Hospital, Amager-Hvidovre, Denmark.
Foot Ankle Surg. 2022 Aug;28(6):795-799. doi: 10.1016/j.fas.2021.11.003. Epub 2021 Nov 21.
Knowledge is limited about how Achilles tendon elongation following acute Achilles tendon rupture (ATR) affects the ability to return to work and return to sport. This study aimed to examine if the indirect length measures, the heel-rise height (HRH) and the Achilles tendon resting angle (ATRA), correlated with patient limitations and return to previous activities one year after ATR.
The study was performed as a registry study in the Danish Achilles tendon Database (DADB). The analyses investigated if HRH (limb symmetry index (LSI)) and relative ATRA one year after rupture, correlated with return to the same type of work, return to the same type of sport and the Achilles tendon total rupture score (ATRS) at the same time point.
477 patients were included in the study. HRH (LSI) showed fair correlation to ATRS (r = 0.35, p < 0.001), poor correlation to same type of work (r = 0.29, p < 0.001) and did not statistically significantly correlate with return to the same type of sport. Relative ATRA showed poor correlation to ATRS (r = 0.09, p = 0.04) and did not correlate statistically significantly with return to same type of work or sport.
Neither relative ATRA nor HRH (LSI) showed strong correlations to return to work, return sport or ATRS. When comparing the relative ATRA and HRH (LSI), HRH (LSI) seems to be a better outcome in reflecting patient limitations and return to previous activities one year after ATR.
关于急性跟腱断裂（ATR）后跟腱延长如何影响重返工作和重返运动的能力，相关知识有限。本研究旨在探讨跟腱抬高高度（HRH）和跟腱静息角度（ATRA）这两种间接长度测量方法，是否与 ATR 后一年患者的活动受限和恢复先前活动能力相关。
本研究在丹麦跟腱数据库（DADB）中进行了一项注册研究。分析旨在探讨跟腱断裂后一年的 HRH（肢体对称性指数（LSI））和相对 ATRA 是否与恢复相同类型的工作、相同类型的运动以及同一时间点的跟腱总断裂评分（ATRS）相关。
本研究共纳入 477 例患者。HRH（LSI）与 ATRS 呈中等程度相关（r=0.35，p<0.001），与相同类型的工作呈弱相关（r=0.29，p<0.001），与相同类型的运动无统计学相关性。相对 ATRA 与 ATRS 呈弱相关（r=0.09，p=0.04），与恢复相同类型的工作或运动无统计学相关性。
相对 ATRA 和 HRH（LSI）均与恢复工作、恢复运动或 ATRS 无明显相关性。在比较相对 ATRA 和 HRH（LSI）时，HRH（LSI）似乎是反映 ATR 后一年患者活动受限和恢复先前活动能力的更好指标。
