The incidence of Achilles tendon ruptures in Edmonton, Canada
The incidence of Achilles tendon ruptures in Edmonton, Canada
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DOI：
10.1177/107110070502601106
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发表时间：
2005-11-01
影响因子：
2.7
通讯作者：
Jomha, N
中科院分区：
文献类型：
--
作者：
Suchak, AA;Bostick, G;Jomha, N
背景：此前尚未报道北美人群特有的跟腱断裂的发生率，目前的流行病学数据主要来自欧洲社区。本研究的目的是确定加拿大艾伯塔省埃德蒙顿市跟腱断裂的发生率，并将该数据与欧洲研究报告的数据进行比较。方法：对 1998 年至 2002 年（含）期间埃德蒙顿所有五家急症护理医院的跟腱断裂情况进行回顾性图表审查。获得性别、年龄、伤侧、受伤机制、受伤季节等数据。结果：跟腱断裂的发生率从年平均每 100,000 名居民 5.5 例到 9.9 例不等，总体平均每 100,000 人有 8.3 例。在过去两年的研究中，男女的跟腱断裂率存在统计学上的显着差异（女性，p < 0.02；男性，p < 0.03）。跟腱断裂的平均年龄男性为 40.6 岁，女性为 44.5 岁。跟腱断裂最常发生在男性和女性的 30 至 39 岁和 40 至 49 岁年龄组中（p < 0.02）。大多数断裂发生在春季，但不同季节跟腱断裂发生率差异无统计学意义（p > 0.05）。结论：该社区的跟腱断裂发生率与欧洲社区报告的发生率相当（每 10 万人中有 6 至 37 例断裂），尽管本研究中没有观察到先前报告的断裂的双峰年龄分布。
Background: The incidence of Achilles tendon ruptures specific to the North American population has not been previously reported and current epidemiological data are primarily reported from European communities. The purpose of this study was to determine the incidence of Achilles tendon ruptures in the city of Edmonton, Alberta, Canada, and to compare this data to those reported in European studies. Methods: A retrospective chart review from all five acute care hospitals in Edmonton from 1998 to 2002 (inclusive) were reviewed for Achilles tendon ruptures. Data such as gender, age, side, mechanism of injury, and season of injury were obtained. Results: The incidence of Achilles tendon ruptures ranged from an annual average of 5.5 ruptures to 9.9 ruptures per 100,000 inhabitants with an overall mean of 8.3 ruptures per 100,000 people. There was a statistically significant difference in Achilles tendon ruptures over the last two study years for both genders (women, p < 0.02; men, p < 0.03). The mean age for an Achilles tendon rupture was 40.6 years for men and 44.5 years for women. The Achilles tendon ruptures occurred most frequently in the 30 to 39 and 40 to 49 year old age groups in both men and women, respectively (p < 0.02). Most ruptures occurred in the spring season, but there was no statistical difference in the incidence of Achilles tendon ruptures by season (p > 0.05). Conclusions: The incidence of Achilles tendon ruptures in this community was comparable to those reported in European communities (range 6 to 37 ruptures per 100,000 people), although a bimodal age distribution of rupture previously reported was not observed in this study.