Evidence map›Paper›PMID 39493002›Full record

ArticleJournal of experimental orthopaedics2024

Fear of reinjury after acute Achilles tendon rupture is related to poorer recovery and lower physical activity postinjury.

Elin Larsson, Agnes LeGreves, Annelie Brorsson, Pernilla Eliasson, Christer Johansson, Michael R Carmont, Katarina Nilsson Helander

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Soleus subtendon elongation is reduced by individual suturing of Achilles subtendons after rupture.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Elin LarssonThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden.ORCID 0009-0006-3064-6146
Agnes LeGrevesThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden.
Annelie BrorssonIFK Kliniken Rehab Gothenburg Sweden.ORCID 0000-0002-9099-9529
Pernilla EliassonThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden.ORCID 0000-0001-6718-034X
Christer JohanssonThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden.ORCID 0000-0002-3707-9766
Michael R CarmontThe Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy Gothenburg University Gothenburg Sweden.ORCID 0000-0002-7472-6280
Katarina Nilsson HelanderThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden.ORCID https://orcid.org/0000-0002-1292-5102

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The aim of this study was to investigate how fear of reinjury to the Achilles tendon affects return to previous levels of physical activity and self-reported Achilles tendon Total Rupture Score (ATRS) outcomes. Methods: Data were collected from a large cohort of patients treated for an acute Achilles tendon rupture at Sahlgrenska University Hospital Mölndal between 2015 and 2020. The ATRS and additional questions concerning fear of reinjury, treatment modality, satisfaction of treatment and recovery were analyzed 1-6 years postinjury. Analysis was performed to determine the impact of fear of reinjury on patient-reported recovery and physical activity. Results: Of a total of 856 eligible patients, 550 (64%) answered the self-reported questionnaire and participated in the follow-up. Of the participants, 425 (77%) were men and 125 (23%) were women. ATRS, recovery in percentage, satisfaction of treatment, recovery on a 5-point scale and physical activity level post- versus preinjury were significantly related to fear of reinjury ( Conclusion: More than half of patients who have suffered an Achilles tendon rupture are afraid of reinjuring their tendon. Patients who reported fear of reinjury exhibited a significantly lower ATRS score. This indicates the importance of addressing psychological aspects in the treatment after this injury. Level of Evidence: Level II.

Indexed as

Achilles tendon ruptureAchilles tendon Total Rupture Scorefear of reinjury

Identifiers

PMID39493002
PMCPMC11528036

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.