McCahon Joseph A S, Miller Mark, Riebesell Samantha, Pedowitz David I, Parekh Selene G, Daniel Joseph N
Jefferson Health-New Jersey, Stratford, New Jersey.
Rothman Orthopaedic Institute, Philadelphia, Pennsylvania.
Foot Ankle Spec. 2024 Oct 8:19386400241286591. doi: 10.1177/19386400241286591.
With its rising popularity of pickleball, particularly in the aging population, comes concern for potential injuries that previously rarely affected this patient cohort. The purpose of this study was to investigate the trends of pickleball-related Achilles tendon injuries.
A retrospective case series was performed to determine the trends associated with pickleball-related Achilles tendon injuries over the last 10 years. A database search of all Achilles tendon ruptures (ICD-10 S86.0) presenting to a large, multistate, subspecialty referral orthopaedic clinic between January 2013 and June 2023 were identified and included in the study. Pickleball-related injuries were identified via query and confirmed with manual chart review. The incidence of pickleball-related injuries, as well as patient demographics and rate of surgery was determined and compared with the total population during that time period.
A total of 2684 patients who suffered an Achilles tendon injury between January 2013 and June 2023 were identified, with 43 patients meeting the inclusion criteria for pickleball-related Achilles tendon ruptures. The number and overall incidence of pickleball-related Achilles tendon injuries has been increasing since 2016, excluding 2020 where there was a large decrease likely due to the COVID-19 epidemic. Pickleball was associated with older age at time of injury (64.5 vs 48.6, P < .001) as well as a lower BMI (26.6 vs 29.4, P < .001). In addition, patients who sustained a pickleball-related Achilles tendon injury were more likely to undergo surgery (67.4% vs 45.4%, P = .008).
The rising popularity of pickleball and its associated injuries poses a significant risk to the aging population, with Achilles tendon injuries occurring in older individuals and resulting in a higher likelihood of undergoing surgery.
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随着匹克球运动日益普及，尤其是在老年人群体中，人们开始关注此前很少影响该患者群体的潜在损伤。本研究的目的是调查与匹克球相关的跟腱损伤趋势。
进行了一项回顾性病例系列研究，以确定过去10年中与匹克球相关的跟腱损伤趋势。通过数据库搜索2013年1月至2023年6月期间在一家大型、多州、专科转诊骨科诊所就诊的所有跟腱断裂（国际疾病分类第10版S86.0）病例，并纳入研究。通过查询确定与匹克球相关的损伤，并通过人工病历审查进行确认。确定与匹克球相关损伤的发生率，以及患者人口统计学特征和手术率，并与该时间段内的总人口进行比较。
共确定了2013年1月至2023年6月期间遭受跟腱损伤的2684例患者，其中43例符合与匹克球相关的跟腱断裂纳入标准。自2016年以来，与匹克球相关的跟腱损伤数量和总体发生率一直在增加，但2020年除外，当时由于新冠疫情大幅下降。匹克球运动与受伤时年龄较大（64.5岁对48.6岁，P < .001）以及较低的体重指数（26.6对29.4，P < .001）有关。此外，遭受与匹克球相关跟腱损伤的患者更有可能接受手术（67.4%对45.4%，P = .008）。
匹克球运动的日益普及及其相关损伤对老年人群体构成了重大风险，老年个体更容易发生跟腱损伤，且手术可能性更高。
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