{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:38:06Z","timestamp":1790995086605,"version":"4.1.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With its rising popularity of pickleball, particularly in the aging population, comes concern for potential injuries that previously rarely affected this patient cohort. The purpose of this study was to investigate the trends of pickleball-related Achilles tendon injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case series was performed to determine the trends associated with pickleball-related Achilles tendon injuries over the last 10 years. A database search of all Achilles tendon ruptures (ICD-10 S86.0) presenting to a large, multistate, subspecialty referral orthopaedic clinic between January 2013 and June 2023 were identified and included in the study. Pickleball-related injuries were identified via query and confirmed with manual chart review. The incidence of pickleball-related injuries, as well as patient demographics and rate of surgery was determined and compared with the total population during that time period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 2684 patients who suffered an Achilles tendon injury between January 2013 and June 2023 were identified, with 43 patients meeting the inclusion criteria for pickleball-related Achilles tendon ruptures. The number and overall incidence of pickleball-related Achilles tendon injuries has been increasing since 2016, excluding 2020 where there was a large decrease likely due to the COVID-19 epidemic. Pickleball was associated with older age at time of injury (64.5 vs 48.6, P &lt; .001) as well as a lower BMI (26.6 vs 29.4, P &lt; .001). In addition, patients who sustained a pickleball-related Achilles tendon injury were more likely to undergo surgery (67.4% vs 45.4%, P = .008).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The rising popularity of pickleball and its associated injuries poses a significant risk to the aging population, with Achilles tendon injuries occurring in older individuals and resulting in a higher likelihood of undergoing surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">IV; retrospective case-series<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19386400241286591","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T04:55:54Z","timestamp":1728363354000},"page":"206-210","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Pickleball and the Rising Incidence of Achilles Tendon Injuries in the Elderly"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6655-5581","authenticated-orcid":false,"given":"Joseph A. S.","family":"McCahon","sequence":"first","affiliation":[{"name":"Jefferson Health\u2014New Jersey, Stratford, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Miller","sequence":"additional","affiliation":[{"name":"Jefferson Health\u2014New Jersey, Stratford, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Riebesell","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David I.","family":"Pedowitz","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selene G.","family":"Parekh","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph N.","family":"Daniel","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Robbins S. Pickleball is the fastest-growing sport for second year in a row growing by 39.3%. Published November 14 2023. Accessed November 15 2023. https:\/\/usapickleball.org\/news\/fastest-growing-sport\/"},{"key":"e_1_3_2_3_2","unstructured":"USA pickleball rulebook. Accessed November 16 2023. https:\/\/usapickleball.org\/what-is-pickleball\/official-rules\/"},{"key":"e_1_3_2_4_2","unstructured":"Smith LE Buchanan CA Dalleck LC. The acute and chronic physiological responses to pickleball in middle-aged and older adults. Int J Res Ex Phys. 2018;13(2):21-32. Accessed September 25 2024. https:\/\/www.researchgate.net\/profile\/Lance-Dalleck\/publication\/325544110_The_Acute_and_Chronic_Physiological_Responses_to_Pickleball_in_Middle-Aged_and_Older_Adults\/links\/5b14c495a6fdcc4611e1fe93\/The-Acute-and-Chronic-Physiological-Responses-to-Pickleball-in-Middle-Aged-and-Older-Adults.pdf"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2019.09.016"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.39831"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-021-00327-9"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514540599"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0000000000000310"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118808238"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120973672"},{"key":"e_1_3_2_12_2","unstructured":"New APP research reveals nearly 50 million adult Americans have played pickleball in the last 12 months; average age drops to 35. Accessed November 16 2023. https:\/\/www.theapp.global\/news\/nearly-50-million-adult-americans-have-played-pickleball"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221075373"},{"key":"e_1_3_2_14_2","doi-asserted-by":"crossref","unstructured":"\u00c5str\u00f6m M Westlin N. Blood flow in chronic Achilles tendinopathy. Clin Orthop Relat Res. 1994;308:166. Accessed November 16 2023. https:\/\/journals.lww.com\/clinorthop\/_layouts\/15\/oaks.journals\/downloadpdf.aspx?an=00003086-199411000-00023","DOI":"10.1097\/00003086-199411000-00023"},{"key":"e_1_3_2_15_2","doi-asserted-by":"crossref","unstructured":"Ippolito E Natali PG Postacchini F Accinni L De Martino C. Morphological immunochemical and biochemical study of rabbit Achilles tendon at various ages. J Bone Joint Surg Am. 1980;62(4):583-598. Accessed September 25 2024. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/6991502","DOI":"10.2106\/00004623-198062040-00014"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016470052943928"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07384-1"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/jfmk5040095"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0278-5919(03)00010-3"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640009355191"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19386400241286591","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19386400241286591","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19386400241286591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:32:29Z","timestamp":1777411949000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19386400241286591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,8]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/19386400241286591"],"URL":"https:\/\/doi.org\/10.1177\/19386400241286591","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,8]]}}}