Risk factorsBy Mayo Clinic staff
Factors that may increase your risk of Achilles tendon rupture include:
- Age. The peak age for Achilles tendon rupture is 30 to 40.
- Your sex. Achilles tendon rupture is up to five times more likely to occur in men than in women.
- Playing recreational sports. Achilles tendon injuries occur more often in sports that involve running, jumping and sudden starts and stops — such as soccer, basketball and tennis.
- Steroid injections. Doctors sometimes inject steroids into an ankle joint to reduce pain and inflammation. However, this medication can weaken nearby tendons and has been associated with Achilles tendon ruptures.
- Certain antibiotics. Fluoroquinolone antibiotics, such as ciprofloxacin (Cipro) or levofloxacin (Levaquin), increase the risk of Achilles tendon rupture.
- Baer GS, et al. Achilles tendon rupture. In: DeLee JC, et al. DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-3143-7..X0001-2--TOP&isbn=978-1-4160-3143-7&uniqId=230100505-57. Accessed July 21, 2011.
- Ham P, et al. Achilles tendinopathy and tendon rupture. http://www.uptodate.com/home/index.html. Accessed July 21, 2011.
- Khan RJ, et al. Surgical interventions for treating acute Achilles tendon ruptures (review). Cochrane Database of Systematic Reviews. 2010:CD003674.
- Mercier LR. Achilles tendon rupture. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-05610-6..C2009-0-38600-6--TOP&isbn=978-0-323-05610-6&about=true&uniqId=230100505-53. Accessed July 21, 2011.
- Carr JB. Achilles tendon rupture. In: Browner BD, et al. Skeletal Trauma. 4th ed. Philadelphia, Pa.: W.B. Saunders Co.; 2008. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4160-2220-6..10060-X--s0630&isbn=978-1-4160-2220-6&sid=1182706148&uniqId=268192316-4#4-u1.0-B978-1-4160-2220-6..10060-X--s0630. Accessed July 21, 2011.
- Laskowski ER (expert opinion). Mayo Clinic, Rochester, Minn. July 26, 2011.