Achilles Tendon Injuries in Major League Soccer: A 10-year Analysis of Injury Rate, Return to Play, and Performance Metrics.

Player age was significantly associated with return-to-play time, with younger players (≤26 years) exhibiting prolonged return-to-play durations (303.56 ± 112.97 days) compared to older players (>26 years) (168.09 ± 99.66 days; P = .017).

There was no difference in return-to-play with field type (artificial turf vs grass, P = .59).

Reinjury rates increased over time but were not statistically significant ( P = .77).

Forwards with ruptured Achilles injuries exhibited a decline in games played in the index year (-9.00 ± 8.49 vs 3.00 ± 1.73 games; P = .041).