2021 ISAKOS Biennial Congress ePoster
Heel-Rise Height (HRH) Shows Better Capability Than Achilles Tendon Resting Angle (ATRA) in Reflecting Patient Reported Outcome Measures and Return to Previous Activities One Year After Acute Achilles Tendon Rupture.
Allan Cramer, MD, PhD, København N, Danmark DENMARK
Maria Swennergren Hansen, PT, PhD, Copenhagen DENMARK
Per Hölmich, DMSc, Prof., Copenhagen DENMARK
Kristoffer W. Barfod, MD, PhD, Virum DENMARK
Sports Orthopedic Research Center - Copenhagen (SORC-C), Departement of Orthopedic Surgery, Hvidovre Hospital., Hvidovre, DENMARK
FDA Status Not Applicable
Summary
When comparing the Achilles tendon resting angle (ATRA) and the heel-rise height (HRH), HRH seems to be a better outcome in reflecting patient reported outcome measures and return to previous activities one year after ATR.
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Abstract
Objective
Knowledge is limited about how Achilles tendon elongation following acute Achilles tendon rupture (ATR) affects the ability to return to work and return to sport. This study aimed to examine if the indirect length measures, the heel-rise height (HRH) and the Achilles tendon resting angle (ATRA), correlated with patient limitations and return to previous activities one year after ATR.
Methods
The study was performed as a registry study in the Danish Achilles tendon Database (DADB). The analyses investigated if HRH (limb symmetry index (LSI)) and relative ATRA one year after rupture, correlated with return to the same type of work, return to the same type of sport, and the Achilles tendon total rupture score (ATRS) at the same time point.
Results
477 patients were included in the study. HRH (LSI) showed fair correlation to ATRS (r=0.35, p<0.001), poor correlation to same type of work (r=0.29, p<0.001) and did not statistically significantly correlate with return to the same type of sport. Relative ATRA showed poor correlation to ATRS (r=0.09, p=0.04) and did not correlate statistically significantly with return to same type of work or sport.
Conclusion
Neither relative ATRA nor HRH (LSI) showed strong correlations to return to work, return to sport, or ATRS. When comparing the relative ATRA and HRH (LSI), HRH (LSI) seems to be a better outcome in reflecting patient limitations and return to previous activities one year after ATR.