Objective: To determine the incidence of Achilles tendon rupture in Scotlan
d from 1980 to 1995.
Design: Retrospective analysis of prospectively collected data.
Setting: Data were obtained from the National Health Service Information an
d Statistics Division and analyzed in terms of age- and gender-specific inc
idence rates and time trends by age group.
Participants: A total of 4,201 patients with Achilles tendon ruptures occur
ring during the study period.
Main Outcome Measures: Calculation of incidence and of seasonality.
Results: The overall incidence of Achilles tendon rupture increased from 4.
7/100,000 in 1981 to 6/100,000 in 1994, with a peak in 1986. In men, the in
cidence rose from 6.3/100,000 to 7.3/100,000. In women, the increase in inc
idence was more pronounced, from 3/100,000 to 4.7/100,000. In men, peak inc
idence rate occurred in the 30- to 39-year age group, whereas in women, the
peak age-specific incidence occurred in those aged 80 years and older, wit
h a steady increase after age 60. There was no evidence of a seasonality ef
fect in the rate of occurrence of Achilles tendon rupture. A bimodal distri
bution of age at time of Achilles tendon rupture was noted.
Conclusion: There was a significant increase in the incidence of Achilles t
endon rupture during the period from 1980 to 1995. This reflects the increa
sed incidence of the injury noted in other Northern European countries.