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Racial differences in tendon rupture incidence.
Int J Sports Med 2007; 28(7):617-20IJ

Abstract

Despite some anecdotal evidence, the racial differences in tendon injuries have received little attention in the literature. We sought to determine the effect of race on major tendon injuries. A search was performed according to the International Classification of Diseases, Ninth Revision, Clinical Modification code 727.65 (rupture of quadriceps tendon), 727.66 (rupture of patellar tendon), and 727.67 (rupture of Achilles tendon) using the U. S. Defense Medical Epidemiology Database (DMED). Multivariate poisson regression was used to estimate the rate of major tendon rupture per 1000 person-years, while controlling for differences in gender, service, rank, and age for each code. We computed rate ratios and 95% confidence intervals using whites as the referent category. The adjusted rate ratio for black service members when compared to white service members was 2.89 (95% CI 2.42, 3.44) for quadriceps tendon tears, 4.52 (95% CI 3.94, 5.19) for patellar tendon tears, and 3.58 (95% CI 3.31, 3.88) for Achilles tendon tears. There appears to be a significant relative predisposition toward lower-extremity major tendon rupture in black U. S. service members when compared to white service members. Investigation of the racial differences in risk factors is warranted.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Keller Army Hospital, West Point, NY, USA. b.owens@us.army.milNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17357966

Citation

Owens, B, et al. "Racial Differences in Tendon Rupture Incidence." International Journal of Sports Medicine, vol. 28, no. 7, 2007, pp. 617-20.
Owens B, Mountcastle S, White D. Racial differences in tendon rupture incidence. Int J Sports Med. 2007;28(7):617-20.
Owens, B., Mountcastle, S., & White, D. (2007). Racial differences in tendon rupture incidence. International Journal of Sports Medicine, 28(7), pp. 617-20.
Owens B, Mountcastle S, White D. Racial Differences in Tendon Rupture Incidence. Int J Sports Med. 2007;28(7):617-20. PubMed PMID: 17357966.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial differences in tendon rupture incidence. AU - Owens,B, AU - Mountcastle,S, AU - White,D, Y1 - 2007/03/15/ PY - 2007/3/16/pubmed PY - 2007/10/11/medline PY - 2007/3/16/entrez SP - 617 EP - 20 JF - International journal of sports medicine JO - Int J Sports Med VL - 28 IS - 7 N2 - Despite some anecdotal evidence, the racial differences in tendon injuries have received little attention in the literature. We sought to determine the effect of race on major tendon injuries. A search was performed according to the International Classification of Diseases, Ninth Revision, Clinical Modification code 727.65 (rupture of quadriceps tendon), 727.66 (rupture of patellar tendon), and 727.67 (rupture of Achilles tendon) using the U. S. Defense Medical Epidemiology Database (DMED). Multivariate poisson regression was used to estimate the rate of major tendon rupture per 1000 person-years, while controlling for differences in gender, service, rank, and age for each code. We computed rate ratios and 95% confidence intervals using whites as the referent category. The adjusted rate ratio for black service members when compared to white service members was 2.89 (95% CI 2.42, 3.44) for quadriceps tendon tears, 4.52 (95% CI 3.94, 5.19) for patellar tendon tears, and 3.58 (95% CI 3.31, 3.88) for Achilles tendon tears. There appears to be a significant relative predisposition toward lower-extremity major tendon rupture in black U. S. service members when compared to white service members. Investigation of the racial differences in risk factors is warranted. SN - 0172-4622 UR - https://www.unboundmedicine.com/medline/citation/17357966/Racial_differences_in_tendon_rupture_incidence_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-964837 DB - PRIME DP - Unbound Medicine ER -