Achilles Ruptures in Major League Baseball
Background
No currently available literature evaluates the effect of Achilles tendon repair on professional baseball players in the Major League Baseball (MLB). 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 suggests that injury to the rear (power-generating) leg may lead to a decline in those statistics which denote a player's speed and running ability.
Reference
Saltzman BM, Tetreault MW, Bohl DD, Tetreault D, Lee S, Bach BR Jr. Analysis of Player Statistics in Major League Baseball Players Before and After Achilles Tendon Repair. HSS J. 2017 Jul;13(2):108-118. PubMed ID: 28690460.