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
VariablesTotalAcceleration from standingCross-over cuttingVertical jumpingOthers
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)
 Forefoot37 (62%)25 (100%)4 (27%)7 (64%)3 (33%)
 Flat foot12 (20%)/8 (53%)/2 (22%)
 Heel strike/////
 Unsure11 (18%)/3 (20%)4 (36%)4 (44%)
Foot strike IF (sagittal plane)
 Forefoot10 (17%)8 (32%)2 (13%)//
 Flat foot37 (62%)17 (68%)10 (67%)5 (45%)5 (56%)
 Heel/////
 Unsure13 (22%)/3 (20%)6 (55%)4 (44%)
Foot position at IF (frontal plane)
 Pronation29 (48%)12 (48%)11 (73%)1 (9%)5 (56%)
 Supination1 (2%)1 (4%)///
 Neutral9 (15%)6 (24%)/2 (18%)1 (11%)
 Unsure21 (35%)6 (24%)4 (27%)8 (73%)3 (33%)
Foot rotation at IF (transverse)
 Externally rotated42 (70%)19 (76%)11 (73%)6 (55%)5 (56%)
 Internally rotated0 (0%)0 (0%)0 (0%)0 (0%)0 (0%)
 Neutral5 (8%)3 (12%)1 (7%)0 (0%)1 (11%)
 Unsure13 (22%)3 (12%)3 (20%)5 (45%)3 (33%)
  • IC, initial contact; IF, injury frame.