Evidence map›Paper›PMID 42405884›Full record

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.

Morgan N Potter, Jenna Mlecko, Marianne Christensen, Susanna Aufwerber, Sarah E Katz, Ryan T Pohlig, Karin Grävare Silbernagel

Abstract readSystematic Review
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Morgan N PotterDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.ORCID https://orcid.org/0000-0003-1590-1859
Jenna MleckoDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.
Marianne ChristensenPhysiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.ORCID https://orcid.org/0000-0003-3517-8151
Susanna AufwerberDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-8795-105X
Sarah E KatzLibrary, Museums, and Press, University of Delaware, Newark, Delaware, USA.
Ryan T PohligDepartment of Epidemiology, University of Delaware, Newark, Delaware, USA.ORCID https://orcid.org/0000-0002-8385-8218
Karin Grävare SilbernagelDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.ORCID https://orcid.org/0000-0001-7566-407X

Funding

PT/PHD Predoctoral Training Program Diversity SupplementT32HD007490 · NICHD · UNIVERSITY OF DELAWARE · PI DARCY S. REISMAN · 1996 to 2026
$3.7M
FPTRNational Institutes of Health (NIH) T32HD007490NICHD NIH HHS T32 HD007490
6 · The paper itself

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).

Indexed as

Achilles TendonTendon InjuriesFemaleHumansMaleRuptureSex Distributionmensex differencessex‐disaggregated datatendon injurywomen

Identifiers

PMID42405884
PMCPMC13359244

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.