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. 2022 Sep 22;8(3):e001419. doi: 10.1136/bmjsem-2022-001419

Table 3.

Biomechanical description (median and range) of Achilles tendon ruptures in football players (n=42)

Whole body biomechanics on the sagittal plane (n=42) Injury pattern
Variables Total Acceleration from standing Cross-over cutting Vertical jumping Others
Trunk flexion IC (+ flexion, − extension) 15 (−5, 75) 13 (0, 75) 8 (0, 30) 18 (−5, 31) 19 (6, 30)
Trunk flexion IF (+ flexion, − extension) 16 (−5, 90) 19 (−0, 90) 14 (−5, 44) 14 (2, 30) 20 (5, 30)
Hip flexion IC (+ flexion, - extension) 10 (−37, 65) 8 (−33, 65) 5 (−24, 38) 20 (−37, 43) 25 (−3, 34)
Hip flexion IF (+ flexion, − extension) −20 (−55, 60) −17 (−50, 60) −27 (−55, 59) 3 (−50, 40) 0 (−32, 49)
Knee flexion IC (+ flexion, − extension) 44 (10, 70) 40 (12, 70) 35 (10; 59) 50 (10, 60) 50 (30, 65)
Knee flexion IF (+ flexion, − extension) 23 (0, 80) 20 (7, 58) 15 (0, 80) 38 (13, 68) 45 (10, 74)
Ankle flexion IC (+ dorsi-flexion, − plantar-flexion) 0 (−35, 35) −10 (−35, 35) 4 (−34, 35) 10 (0, 22) 0 (−30, 15)
Ankle flexion IF (+ dorsi-flexion, − plantar-flexion) 40 (15 59) 39 (15, 59) 39 (15, 52) 42 (20, 54) 44 (30, 51)
Foot biomechanics (n=60)
Foot strike IC (sagittal plane)
 Forefoot 37 (62%) 25 (100%) 4 (27%) 7 (64%) 3 (33%)
 Flat foot 12 (20%) / 8 (53%) / 2 (22%)
 Heel strike / / / / /
 Unsure 11 (18%) / 3 (20%) 4 (36%) 4 (44%)
Foot strike IF (sagittal plane)
 Forefoot 10 (17%) 8 (32%) 2 (13%) / /
 Flat foot 37 (62%) 17 (68%) 10 (67%) 5 (45%) 5 (56%)
 Heel / / / / /
 Unsure 13 (22%) / 3 (20%) 6 (55%) 4 (44%)
Foot position at IF (frontal plane)
 Pronation 29 (48%) 12 (48%) 11 (73%) 1 (9%) 5 (56%)
 Supination 1 (2%) 1 (4%) / / /
 Neutral 9 (15%) 6 (24%) / 2 (18%) 1 (11%)
 Unsure 21 (35%) 6 (24%) 4 (27%) 8 (73%) 3 (33%)
Foot rotation at IF (transverse)
 Externally rotated 42 (70%) 19 (76%) 11 (73%) 6 (55%) 5 (56%)
 Internally rotated 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
 Neutral 5 (8%) 3 (12%) 1 (7%) 0 (0%) 1 (11%)
 Unsure 13 (22%) 3 (12%) 3 (20%) 5 (45%) 3 (33%)

IC, initial contact; IF, injury frame.