Whitmore Joshua A, Lyons Joseph G, Berkay Fehmi, Minhas Arjun
Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA.
Orthop J Sports Med. 2025 Aug 4;13(8):23259671251360402. doi: 10.1177/23259671251360402. eCollection 2025 Aug.
There is literature on epidemiologic trends in acute primary tendon ruptures. However, most of the data used in the literature is centered in Europe or Canada, whereas there has been little analysis of trends in primary tendon ruptures in the United States (US), especially data collected after 2010.
To report the epidemiology of upper and lower extremity acute primary tendon ruptures presenting to emergency departments (ED) in the US and compare incidence ratios based on race using the National Electronic Injury Surveillance System (NEISS) Database.
Descriptive epidemiology study.
The NEISS database was queried for acute primary tendon ruptures in the US from 2001 to 2020. National estimates (N) and estimated incidence ratios (IR) reported as per 100,000 person-years at risk (PYR) for acute primary tendon ruptures were calculated using NEISS sample estimates (n) and US Census Bureau population estimates. Temporal trends in annual IRs throughout the study period were assessed with regression analyses.
From 2001 to 2020, there were an N of 235,189 (95% CI, 186,833-283,546) ED visits for acute tendon ruptures in the US, which occurred in a population of 6,183,899,410 person-years for an overall IR of 3.80 PYR (95% CI, 3.02-4.59). Acute primary Achilles (38.2%), biceps brachii (16.2%), and patellar tendon (12.7%) ruptures were the most common injuries. Black patients had the highest overall IR, with an N of 38,679 ruptures (95% CI, 21,552-55,807) occurring in this group for an overall IR of 4.78 PYR (95% CI, 2.66-6.89). The IR of lower extremity tendon ruptures was significantly higher in Black patients, but did not differ for upper extremity tendon ruptures. The annual incidence of all tendon ruptures in the US increased significantly from 2001 to 2020, with an average annual percent of 3 (95% CI, 2.3-3.7; < .0001).
Our study demonstrated that the IR of acute primary tendon ruptures presenting to the ED in the US has increased from 2001 to 2020. Black/African-American individuals have an increased IR compared with White populations.
有关于急性原发性肌腱断裂流行病学趋势的文献。然而，文献中使用的大多数数据集中在欧洲或加拿大，而对美国原发性肌腱断裂趋势的分析很少，尤其是2010年以后收集的数据。
报告美国急诊科收治的上肢和下肢急性原发性肌腱断裂的流行病学情况，并使用国家电子伤害监测系统（NEISS）数据库比较基于种族的发病率。
描述性流行病学研究。
查询NEISS数据库中2001年至2020年美国急性原发性肌腱断裂的情况。使用NEISS样本估计值（n）和美国人口普查局人口估计值计算全国估计数（N）和每10万人年风险（PYR）的估计发病率（IR）。通过回归分析评估整个研究期间年度IR的时间趋势。
2001年至2020年，美国因急性肌腱断裂到急诊科就诊的人数为N = 235,189（95%CI，186,833 - 283,546），发生在6,183,899,410人年的人群中，总体发病率为3.80/10万人年（95%CI，3.02 - 4.59）。急性原发性跟腱断裂（38.2%）、肱二头肌断裂（16.2%）和髌腱断裂（12.7%）是最常见的损伤。黑人患者的总体发病率最高，该组有38,679例断裂（95%CI，21,552 - 55,807），总体发病率为4.78/10万人年（95%CI，2.66 - 6.89）。黑人患者下肢肌腱断裂的发病率显著更高，但上肢肌腱断裂的发病率没有差异。2001年至2020年美国所有肌腱断裂的年发病率显著增加，年均百分比为3%（95%CI，2.3 - 3.7；P <.0001）。
我们的研究表明，2001年至2020年美国急诊科收治的急性原发性肌腱断裂的发病率有所增加。与白人相比，黑人/非裔美国人的发病率有所增加。
