SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2026
Changes in sex distribution in Achilles tendon rupture literature over 74 years: A systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
7 authors.
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Abstract
purposeEvaluate changes in sex distribution within the Achilles tendon rupture (ATR) literature over time.
methodsFour databases were searched (PubMed, Cochrane Central Register of Controlled Trials, SPORTDiscus and Web of Science). To be included, studies had to evaluate primary and complete ATR and report the years in which participants were enrolled, or injury occurred. A weighted linear regression evaluated the relationship between the article midpoint year (of participant enrolment) and the percentage of females across articles.
resultsIn total, 532 articles were included. The midpoint year of participant enrolment ranged from 1948 to 2022. The midpoint year of study enrolment was related to the percentage of females included (b = 0.386, p < 0.001, R
conclusionsThe sex distribution in the ATR literature demonstrates a gradual rise in the percentage of females over time, but males continue to make up a majority of this population. The paucity of sex-disaggregated data or analyses limited the evaluation of trends among females specifically and limits insight into sex-specific patterns. LEVEL OF EVIDENCE: Level III, systematic review (includes studies from I to III).
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