@article{ref1,
title="Acute achilles tendon ruptures: incidence of injury and surgery in Sweden between 2001 and 2012",
journal="American journal of sports medicine",
year="2014",
author="Huttunen, Tuomas T. and Kannus, Pekka and Rolf, Christer G. and Felländer-Tsai, Li and Mattila, Ville M.",
volume="42",
number="10",
pages="2419-2423",
abstract="BACKGROUND: Population-based incidence rates and trends of acute Achilles tendon ruptures are not known. It is also not known whether recent high-quality randomized controlled trials not favoring surgery have had an effect on treatment protocols. <br><br>PURPOSE: To assess the incidence of acute Achilles tendon ruptures in Sweden and to examine the trends in surgical treatment. STUDY DESIGN: Descriptive epidemiology study. <br><br>METHODS: We conducted a nationwide registry-based study including all adult (≥18 years of age) inpatient and outpatient hospital visits because of an acute Achilles tendon rupture in Sweden between 2001 and 2012. <br><br>RESULTS: We identified a total of 27,702 patients (21,979 men, 79%) with acute Achilles tendon ruptures between 2001 and 2012. In 2001, the sex-specific incidence of acute Achilles tendon ruptures was 47.0 (per 100,000 person-years) in men and 12.0 in women. In 2012, the corresponding values were 55.2 in men and 14.7 in women, with an increase of 17% in men and 22% in women. The proportion of surgically treated patients declined from 43% in 2001 to 28% in 2012 in men and from 34% in 2001 to 22% in 2012 in women. <br><br>CONCLUSION: The incidence of acute Achilles tendon ruptures in Sweden is increasing. The most probable reason for this increase is the rise in the number of older adults participating in high-demand sports. The proportion of surgically treated patients is decreasing most likely because of recent high-quality randomized controlled trials and their meta-analyses supporting similar results between surgical and nonsurgical approaches.<p /> <p>Language: en</p>",
language="en",
issn="0363-5465",
doi="10.1177/0363546514540599",
url="http://dx.doi.org/10.1177/0363546514540599"
}