Epidemiology of Closed Ruptured Tendoachilles

Hesham Mousad Alsakaan, Resident at department of orthopedic surgery, Faculty of medicine mansoura University,Mansoura EgyptFollow
Wael Mansour Wafa, lecturer at department of orthopedic surgery, faculty of medicine,mansoura university, Mansoura,Egypt
Mohieb sayed Ahmed, assistant professor of orthopedic surgery,Faculty of medicine,mansoura university Mansoura , Egypt
Ahmed El sayed Magdy Elhawary, professor of orthopedic surgery,Faculty of medicine,Mansoura university ,Mansoura, Egypt

Corresponding Author

Hesham M Alsakaan

Subject Area

Orthopaedic Surgery

Article Type

Original Study

Abstract

Background: To restore tendon function and avoid long-term impairment, early diagnosis and adequate treatment are crucial. The purpose of this study was to ascertain the incidence pattern of ATR and to pinpoint possible variables related to presentation and management approach.

Aim identifying potential risk factors either patient or environmental related and to assess the incidence rate of ATR

Patients and Methods: This retrospective cross-sectional study was performed on 87 achilles tendon rupture patients. All the patients were subjected to full medical history taking. Clinical examination was performed including thompson test and Matles test and radiological investigations.

Results: The median age of the studied patients was 52 years and the majority were males (77%). The vast majority of cases had no history of previous closed rupture or related trauma (94.3%), and rerupture was uncommon (5.7%). With respect to etiology, traumatic rupture predominated (91.3%), while spontaneous rupture accounted for a small proportion (6.9%). In terms of chronicity, most cases were acute (74.7%), with fewer chronic (18.4%) and subacute presentations (6.9%).In terms of clinical examination, Body mass index was independently associated with Thompson test positivity (OR = 1.15, p = 0.04), while age, smoking status, and rupture type were not significant predictors.

Conclusion: the present study evaluated the incidence and potential risk factors of closed ATR. Our findings demonstrated that ATR predominantly affects middle-aged males and is frequently associated with recreational sports activity. The study demonstrates that mechanical strain, metabolic disorders, and pharmaceutical exposure may all play a role in tendon deterioration and subsequent rupture, supporting the complex nature of ATR.

Recommended Citation

Alsakaan, Hesham Mousad; Wafa, Wael Mansour; Ahmed, Mohieb sayed; and Elhawary, Ahmed El sayed Magdy (2026) "Epidemiology of Closed Ruptured Tendoachilles," Mansoura Medical Journal: Vol. 55 : Iss. 5 , Article 2.
Available at: https://doi.org/10.58775/2735-3990.1566