Skip to main content
Top
Published in: HSS Journal ® 2/2017

01-07-2017 | Original Article

Analysis of Player Statistics in Major League Baseball Players Before and After Achilles Tendon Repair

Authors: Bryan M. Saltzman, MD, Matthew W. Tetreault, MD, Daniel D. Bohl, MD, Danielle Tetreault, BS, Simon Lee, MD, Bernard R. Bach Jr., MD

Published in: HSS Journal ® | Issue 2/2017

Login to get access

Abstract

Background

No currently available literature evaluates the effect of Achilles tendon repair on professional baseball players in the Major League Baseball (MLB).

Questions/Purposes

The purpose of this study was to determine the impact of Achilles tendon rupture and repair on MLB players in terms of return to play and batting/fielding performance metrics.

Methods

Achilles tendon rupture data were retrospectively collected using information from the MLB disabled list, injury reports, MLB game summaries, player profiles, and publicly available news articles. Four pair-matched control MLB position players were selected for each of the players who underwent advanced analysis. Baseline characteristics were compared between injured players and controls using Fisher’s exact or Student’s t test.

Results

Overall, the incidence of Achilles tendon rupture reported in MLB has increased substantially since 1996. Rate of return to play in MLB after Achilles tendon rupture and repair is 62% for position players (non-pitchers) who suffer the injury. There was no association of injury with any player metric. Compared with injury to the non-power side, injury to the power side was associated with fewer plate appearances, fewer triples, an increase in percentage of at-bats with strikeouts, and decreased speed score.

Conclusion

The incidence of Achilles tendon rupture in MLB has increased substantially since 1996. While comparison suggests that overall Achilles tendon injury does not have an effect on MLB player statistics in the years following surgical repair, subset analysis of injury to the rear (power-generating) leg may lead to a decline in those statistics which denote a player’s speed and running ability.
Appendix
Available only for authorised users
Literature
1.
go back to reference Amin NH, Old AB, Tabb LP, Garg R, Toossi N, Cerynik DL. Performance outcomes after repair of complete Achilles tendon ruptures in National Basketball Association players. Am J Sports Med. 2013; 41(8): 1864-8.CrossRefPubMed Amin NH, Old AB, Tabb LP, Garg R, Toossi N, Cerynik DL. Performance outcomes after repair of complete Achilles tendon ruptures in National Basketball Association players. Am J Sports Med. 2013; 41(8): 1864-8.CrossRefPubMed
3.
go back to reference Battista V, Combs J, Warme WJ. Asynchronous bilateral Achilles tendon ruptures and androstenediol use. Am J Sports Med. 2003; 31(6): 1007-9.PubMed Battista V, Combs J, Warme WJ. Asynchronous bilateral Achilles tendon ruptures and androstenediol use. Am J Sports Med. 2003; 31(6): 1007-9.PubMed
4.
go back to reference Erickson BJ, Mascarenhas R, Saltzman BM, Walton D, Lee S, Cole BJ, Bach BR Jr. Is operative treatment of Achilles tendon ruptures superior to nonoperative treatment? A systematic review of overlapping meta-analyses. Orthop J Sports Med. 2015; 3(4). doi:10.1177/2325967115579188 Erickson BJ, Mascarenhas R, Saltzman BM, Walton D, Lee S, Cole BJ, Bach BR Jr. Is operative treatment of Achilles tendon ruptures superior to nonoperative treatment? A systematic review of overlapping meta-analyses. Orthop J Sports Med. 2015; 3(4). doi:10.​1177/​2325967115579188​
5.
go back to reference Fabricant PD, Chin CS, Conte S, Coleman SH, Pearle AD, Dines JS. Return to play after anterior cruciate ligament reconstruction in Major League Baseball athletes. Arthroscopy. 2015; 31(5): 896-900.CrossRefPubMed Fabricant PD, Chin CS, Conte S, Coleman SH, Pearle AD, Dines JS. Return to play after anterior cruciate ligament reconstruction in Major League Baseball athletes. Arthroscopy. 2015; 31(5): 896-900.CrossRefPubMed
6.
go back to reference Jallageas R, Bordes J, Daviet JC, Mabit C, Coste C. Evaluation of surgical treatment for ruptured Achilles tendon in 31 athletes. Orthop Traumatol Surg Res. 2013; 99: 577-84.CrossRefPubMed Jallageas R, Bordes J, Daviet JC, Mabit C, Coste C. Evaluation of surgical treatment for ruptured Achilles tendon in 31 athletes. Orthop Traumatol Surg Res. 2013; 99: 577-84.CrossRefPubMed
7.
go back to reference Jiang JJ, Leland JM. Analysis of pitching velocity in major league baseball players before and after ulnar collateral ligament reconstruction. Am J Sports Med. 2014; 42(4): 880-5.CrossRefPubMed Jiang JJ, Leland JM. Analysis of pitching velocity in major league baseball players before and after ulnar collateral ligament reconstruction. Am J Sports Med. 2014; 42(4): 880-5.CrossRefPubMed
8.
go back to reference Kujala UM, Sarna S, Kaprio J. Cumulative incidence of Achilles tendon rupture and tendinopathy in male former elite athletes. Clin J Sports Med. 2005; 15(3): 133-5.CrossRef Kujala UM, Sarna S, Kaprio J. Cumulative incidence of Achilles tendon rupture and tendinopathy in male former elite athletes. Clin J Sports Med. 2005; 15(3): 133-5.CrossRef
9.
go back to reference Liu JN, Garcia GH, Conte S, ElAttrache N, Altchek DW, Dines JS. Outcomes in revision Tommy John surgery in Major League Baseball pitchers. J Shoulder Elb Surg. 2016; 25: 90-7.CrossRef Liu JN, Garcia GH, Conte S, ElAttrache N, Altchek DW, Dines JS. Outcomes in revision Tommy John surgery in Major League Baseball pitchers. J Shoulder Elb Surg. 2016; 25: 90-7.CrossRef
10.
go back to reference Longo UG, Petrillo S, Maffulli N, Denaro V. Acute Achilles tendon rupture in athletes. Foot Ankle Clin N Am. 2013; 18: 319-38.CrossRef Longo UG, Petrillo S, Maffulli N, Denaro V. Acute Achilles tendon rupture in athletes. Foot Ankle Clin N Am. 2013; 18: 319-38.CrossRef
11.
go back to reference Marshall NE, Keller RA, Lynch JR, Bey MJ, Moutzouros V. Pitching performance and longevity after revision ulnar collateral ligament reconstruction in Major League Baseball pitchers. Am J Sports Med. 2015; 43: 1051-7.CrossRefPubMed Marshall NE, Keller RA, Lynch JR, Bey MJ, Moutzouros V. Pitching performance and longevity after revision ulnar collateral ligament reconstruction in Major League Baseball pitchers. Am J Sports Med. 2015; 43: 1051-7.CrossRefPubMed
12.
go back to reference Martinelli B. Percutaneous repair of the Achilles tendon in athletes. Bull Hosp Jt Dis. 2000; 59(3): 149-52.PubMed Martinelli B. Percutaneous repair of the Achilles tendon in athletes. Bull Hosp Jt Dis. 2000; 59(3): 149-52.PubMed
13.
go back to reference McCullough KA, Shaw CM, Anderson RB. Mini-open repair of Achilles rupture in the national football league. J Surg Orthop Adv. 2014; 23(4): 179-83.CrossRefPubMed McCullough KA, Shaw CM, Anderson RB. Mini-open repair of Achilles rupture in the national football league. J Surg Orthop Adv. 2014; 23(4): 179-83.CrossRefPubMed
14.
go back to reference Parekh SG, Wray WH 3rd, Brimmo O, Sennett BJ, Wapner KL. Epidemiology and outcomes of Achilles tendon ruptures in the National Football League. Foot Ankle Spec. 2009; 2(6): 283-6.CrossRefPubMed Parekh SG, Wray WH 3rd, Brimmo O, Sennett BJ, Wapner KL. Epidemiology and outcomes of Achilles tendon ruptures in the National Football League. Foot Ankle Spec. 2009; 2(6): 283-6.CrossRefPubMed
15.
go back to reference Rettig AC, Liotta FJ, Klootwyk TE, Porter DA, Mieling P. Potential risk of rerupture in primary Achilles tendon repair in athletes younger than 30 years of age. Am J Sports Med. 2005; 33(1): 119-23.CrossRefPubMed Rettig AC, Liotta FJ, Klootwyk TE, Porter DA, Mieling P. Potential risk of rerupture in primary Achilles tendon repair in athletes younger than 30 years of age. Am J Sports Med. 2005; 33(1): 119-23.CrossRefPubMed
16.
go back to reference Stavrou M, Seraphim A, Al-Hadithy N, Mordecai SC. Review article: treatment for Achilles tendon ruptures in athletes. J Orthop Surg. 2013; 21(2): 232-5.CrossRef Stavrou M, Seraphim A, Al-Hadithy N, Mordecai SC. Review article: treatment for Achilles tendon ruptures in athletes. J Orthop Surg. 2013; 21(2): 232-5.CrossRef
17.
go back to reference Uquillas CA, Guss MS, Ryan DJ, Jazrawi LM, Strauss EJ. Everything Achilles: knowledge update and current concepts in management. J Bone Joint Surg Am. 2015; 97: 1187-95.CrossRefPubMed Uquillas CA, Guss MS, Ryan DJ, Jazrawi LM, Strauss EJ. Everything Achilles: knowledge update and current concepts in management. J Bone Joint Surg Am. 2015; 97: 1187-95.CrossRefPubMed
18.
go back to reference Vadala A, Lanzetti RM, Ciompi A, Rossi C, Lupariello D, Ferretti A. Functional evaluation of professional athletes treated with a mini-open technique for Achilles tendon rupture. Muscles Ligaments Tendons J. 2014; 4(2): 177-81.PubMedPubMedCentral Vadala A, Lanzetti RM, Ciompi A, Rossi C, Lupariello D, Ferretti A. Functional evaluation of professional athletes treated with a mini-open technique for Achilles tendon rupture. Muscles Ligaments Tendons J. 2014; 4(2): 177-81.PubMedPubMedCentral
Metadata
Title
Analysis of Player Statistics in Major League Baseball Players Before and After Achilles Tendon Repair
Authors
Bryan M. Saltzman, MD
Matthew W. Tetreault, MD
Daniel D. Bohl, MD
Danielle Tetreault, BS
Simon Lee, MD
Bernard R. Bach Jr., MD
Publication date
01-07-2017
Publisher
Springer US
Published in
HSS Journal ® / Issue 2/2017
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-016-9540-6

Other articles of this Issue 2/2017

HSS Journal ® 2/2017 Go to the issue