Achilles Tendon Injuries Requiring Surgical Treatment in the Pediatric and Adolescent Population: A Case Series. Issue 12 (December 2022)

• Record Type: Journal Article
• Authors: Chen, Daniel L.; Beran, Matthew C.; Duncan, Molly; Young, Julie A.; Napolitano, Jonathan T.; MacDonald, James
• Is Part Of: Current sports medicine reports. Volume 21:Issue 12(2022)
• Page Start: 431
• Page End: 435
• Publication Date: 2022-12
• Subjects: Sports medicine -- Periodicals; Sports injuries -- Treatment -- Periodicals; 617.102705
• DOI: 10.1249/JSR.0000000000001015
• Languages: English
• ISSNs: 1537-890X

Abstract

Abstract: Pediatric Achilles tendon injuries requiring surgical treatment are considered rare and have not been well described. A retrospective chart review was conducted from 2010 to 2020 to identify cases of acute Achilles tendon rupture or laceration that required surgical repair in individuals 19 years or younger. A total of 24 individuals with acute Achilles tendon ruptures ( n = 8) and lacerations ( n = 16) were identified. All spontaneous ruptures occurred in skeletally mature individuals during sports. One subject was on minocycline at the time of injury, while two had a body mass index (BMI) ≥ 99% for age. Another had a history of clubfoot surgery on the injured side. Patients with lacerations were younger (9.9 ± 3.3 vs 16.3 ± 1.6 years) and had lower BMI (17.3 ± 3.8 vs. 28.0 ± 9.4) than those with spontaneous ruptures. The majority of cases had good outcomes with no postoperative complications.