{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T01:14:39Z","timestamp":1780449279707,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T00:00:00Z","timestamp":1713830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>There is a lack of knowledge concerning differences between females and males in the early stages after an acute Achilles tendon rupture. This article aims to explore the different factors affecting early function after an Achilles tendon rupture with a validated test battery that includes functional tests, clinical measurements and patient\u2010reported outcome at a 3\u2010month follow\u2010up analysis of a larger prospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was part of the DUSTAR\u2010study (Diagnostic UltraSonography for the choice of Treatment of acute Achilles tendon Rupture) where the main aim was to evaluate if an acute ultrasonography could determine which patients, with an Achilles tendon rupture, should be treated surgically or nonsurgically. At the 3\u2010month follow\u2010up, the results between males and females were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and twenty\u2010seven patients were included at the 3\u2010month follow\u2010up; of these, 102 (80%) were males and 25 (20%) were females. Amongst the females, 11 (44%) were able to perform a single leg heel\u2010rise compared to 48 (47%) of the males; however, the difference was not statistically significant. There was no difference between the sexes in the frequency of completing a single\u2010leg heel\u2010rise at 3 months after injury; however, there were statistically significant differences between the groups when comparing Limb Symmetry Index (LSI) of heel\u2010rise height and heel\u2010rise work. The females had a median heel\u2010rise height LSI\/median heel\u2010rise work LSI of 45%\/14% compared to males who reached a level of 57%\/23% (<jats:italic>p<\/jats:italic>\u2009=\u20090.006\/<jats:italic>p<\/jats:italic>\u2009=\u20090.010). At the 3\u2010month follow\u2010up, the median (range) Achilles tendon Total Rupture Score (ATRS) reported by females was 28.5 (8\u201351), which had a nonsignificant difference compared to males who reported a median (range) ATRS of 30 (1\u201386).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The risk of reduced heel\u2010rise height and worse heel\u2010rise work 3 months after an acute Achilles tendon rupture increases by being a female. Through this knowledge, we highlighted the importance of an individualised treatment for acute Achilles tendon ruptures with better outcome for both males and females.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level II.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12208","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T05:59:16Z","timestamp":1713851956000},"page":"2581-2588","source":"Crossref","is-referenced-by-count":2,"title":["Females present larger deficit in heel\u2010rise height at 3 months following an Achilles tendon rupture compared with males"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3064-6146","authenticated-orcid":false,"given":"Elin","family":"Larsson","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy Gothenburg University Gothenburg Sweden"},{"name":"Department of Orthopaedics Sahlgrenska University Hospital\/M\u00f6lndal Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9682-1051","authenticated-orcid":false,"given":"Niklas","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy Gothenburg University Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Walstern","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy Gothenburg University Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9099-9529","authenticated-orcid":false,"given":"Annelie","family":"Brorsson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy Gothenburg University Gothenburg Sweden"},{"name":"IFK Kliniken Rehab Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1292-5102","authenticated-orcid":false,"given":"Katarina Nilsson","family":"Helander","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy Gothenburg University Gothenburg Sweden"},{"name":"Department of Orthopaedics Sahlgrenska University Hospital\/M\u00f6lndal Gothenburg 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