Thicker Achilles tendons are a risk factor to develop Achilles tendinopathy in elite professional soccer players

Sachin Jhingan, Mark Perry, Gary O'Driscoll, Colin Lewin, Raphael Teatino, Peter Malliaras, Nicola Maffulli, Dylan Morrissey

Research output: Contribution to journalArticleResearchpeer-review

32 Citations (Scopus)

Abstract

The primary aim of this prospective cohort study was to compare the incidence of Achilles tendinopathy symptoms in elite soccer players with and without baseline asymptomatic ultrasound abnormalities. This study also investigated the relationship between baseline tendon thickness and development of symptoms. Using ultrasonography, 18 players were examined in 2009 for the existence of hypoechoicity, paratenon blurring, focal thickening and/or neovascularisation, and anteroposterior tendon thickness was measured. Symptom development during the follow-up period was assessed by interview one year later. Baseline mid-tendon thickness was greater (p=0.041) in tendons that experienced symptoms [median (IQR): 0.53 (0.51-0.55) cm] in the following year than tendons remaining asymptomatic [0.48 (0.45-0.52) cm]. No association between the existence of baseline ultrasound signs and development of symptoms in the following year was observed (Chi-Square: 1.180, p=0.277). A thicker baseline mid-tendon thickness was identified as a risk indicator for the development of Achilles tendinopathy in elite soccer players.

Original languageEnglish
Pages (from-to)51-56
Number of pages6
JournalMuscle, Ligaments and Tendons Journal (MLTJ)
Volume1
Issue number2
Publication statusPublished - Apr 2011
Externally publishedYes

Keywords

  • Achilles
  • Football
  • Sonography
  • Tendinopathy
  • Ultrasound

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