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NBA players have decreased performance after Achilles tendon ruptures | Orthopedics

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href="/web/20130531192502/http://www.healio.com/"> Healio</a> <span>&#8250;</span> <a href="/web/20130531192502/http://www.healio.com/orthopedics"> Orthopedics</a> <span>&#8250;</span> <a href="/web/20130531192502/http://www.healio.com/orthopedics/sports-medicine"> Sports Medicine</a> <span>&#8250;</span> <a href="/web/20130531192502/http://www.healio.com/orthopedics/sports-medicine/news"> News</a> </p> <!-- /breadcrumbs --> <!-- related links --> <!--googleoff: index--><div id="SeeAlso" class="related-links"><h3>See Also</h3><ul><li><a href="https://web.archive.org/web/20130531192502/http://www.healio.com/orthopedics/sports-medicine/news/online/%7Bb9014413-148e-4c93-a9c2-878e941ea036%7D/free-semitendinosus-graft-improves-pain-function-after-achilles-tendon-rupture">Free semitendinosus graft improves pain, function after ...</a></li><li><a href="https://web.archive.org/web/20130531192502/http://www.healio.com/orthopedics/sports-medicine/news/online/%7B941768ec-9d91-4d10-9a31-18786fee70a8%7D/cushioned-training-shoe-may-negatively-affect-competitive-performance-of-adolescents-">Cushioned training shoe may negatively affect competitive ...</a></li><li><a href="https://web.archive.org/web/20130531192502/http://www.healio.com/orthopedics/sports-medicine/news/online/%7B36f0d2db-fdc4-4e1f-8795-d6952f8a1312%7D/young-male-athletes-more-likely-to-rupture-achilles-tendon-during-sport">Young male athletes more likely to rupture Achilles tendon ...</a></li></ul></div><!-- /related links --><!--googleon: index> <!-- /related links --> <!-- content --> <div class="content"> <h2> NBA players have decreased performance after Achilles tendon ruptures</h2> <h3 class="deck"> </h3> <p class="main-subtitle"> </p> <ul class="meta-info"> <li> March 28, 2013</li> </ul> <div class="wyContent"> <p class="BodyCxSpFirst">CHICAGO &mdash; &nbsp;NBA players who return to sport after Achilles tendon ruptures have decreased playing time and performance, according to study results presented here at the American Academy of Orthopaedic Surgeons Annual Meeting.</p> <p class="BodyCxSpMiddle">&ldquo;You can have a successful surgical repair with the result being that you return to the NBA, but you do not return to your preinjury levels,&rdquo; <b>Rohit Garg, MD,</b> said. </p> <p class="BodyCxSpMiddle">Researchers collected data between 1992 and 2012 of players&rsquo; NBA summaries, injury reports and player profiles. They tracked patient age, body mass index, position, years played for the NBA and games missed. They also obtained season statistics for each player and assessed NBA player efficiency ratings (PERs) for 2 seasons before and after injury. They used the Wilcoxon signed rank test to compare PER and minutes per game (MPG) before or after injury and the Mann Whitney U test to compare players with matched controls. Average patient age was 29.7 years, average BMI was 25.6 and average years playing in the NBA was 7.4 years.</p> <p class="BodyCxSpMiddle">Of the 18 players, 11 players returned to play and 8 players played two seasons or more. The seven players who returned to play missed 55.9 games on average. The patients&rsquo; MPG decreased 5.21 in the first season and 4.28 in the second season and PER decreased to 4.64 in the first season and 4.28 in the second season. Both MPG and PER decreased significantly in the first season compared to matched controls, but there was no difference between groups in the second season.</p> <p class="BodyCxSpMiddle">&ldquo;A total of 38.9% of players never returned to play,&rdquo; Garg said in the study abstract.</p> <p class="BodyCxSpMiddle"><b>Reference:</b></p> <p class="BodyCxSpMiddle">Garg R. Paper #735. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; March 18-23, 2013; Chicago.</p> <p class="BodyCxSpLast" style="margin: 0in 0in 10pt;"><b>Disclosure:</b> Garg has no relevant financial disclosures.</p> </div> <!-- figure --> <div class="fig left"> <p class="figcaption"> </p> </div> <div class="wyPagination"> <!-- pagination --> <!-- /pagination --> </div> <!-- /figure --> <div class="follow"> <img src="/web/20130531192502im_/http://www.healio.com/~/media/Images/News/FollowUs.jpg" id="layout_0_maincontent_1_SocialFollow_socialfollow" name="socialfollow" alt="Follow us" usemap="#followus" border="0"/> <map id="followus" name="followus"> <area id="layout_0_maincontent_1_SocialFollow_followfb" shape="rect" coords="51,5,5,51" target="_blank" href="https://web.archive.org/web/20130531192502/https://www.facebook.com/OrthopedicsToday" alt="Follow us on Facebook"></area> <area id="layout_0_maincontent_1_SocialFollow_followtw" shape="rect" coords="241,3,281,50" target="_blank" href="https://web.archive.org/web/20130531192502/https://twitter.com/orthotoday" alt="Follow us on Twitter"></area> </map> </div> </div> <!-- /content --> <div class="social-links"> <div class="fb-like" data-send="false" data-width="300" data-show-faces="true" data-action="recommend"></div> <ul class="share"> <li><a href="javascript:void(0)" id="twitter" target="_new">Tweet</a></li> <li><a href="javascript:void(0)" id="facebook" target="_new">Share</a></li> <li class="linkedin"><a href="javascript:void(0)" id="linkedin">Link</a></li> <li><span class="db-wrapper"><span class="g-plusone" data-size="tall" data-annotation="none"></span></span></li> <li><a href="javascript:void(0)" id="email">Email</a></li> <li class="last"><a href="javascript:void(0)" id="print">Print</a></li> </ul> </div> <!-- comment form --> <div id="respond"> <h4> Comments</h4> <script language="javascript" type="text/javascript"> var idcomments_acct = 'aa6ff53f9870e40f92f83e1b5df3cddf'; var idcomments_post_id = '{6A455DE9-5DA7-4790-B25D-0BC0DCD72A82}'; var idcomments_post_url; </script> <span id="IDCommentsPostTitle" style="display: none"></span> <script type="text/javascript" src="https://web.archive.org/web/20130531192502js_/http://www.intensedebate.com/js/genericCommentWrapperV2.js"></script> <p class="comment-notes"> Healio is intended for health care provider use and all comments will be posted at the discretion of the editors. 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