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Objective: The objective of this study is to assess the gender related differences in the elasticity and thickness of the Achilles among healthy young participants. Methods: Forty-eight volunteers, which were healthy adults between the ages of 20 and 25 years, included the study. Metabolic equivalents (MET) scores, tendon thickness and shear wave velocities (SWVs) were compared between males and females. Results: The median age of males was 24.00 and of females was 23.00 years. The mean BMI score was 22.22±1.92 kg/m among males, and 21.84±2.29 kg/m among females. The median MET score of both males and females was 4.00. The median SWVs was found 4.76 m/s in males, and 4.77 m/s in females. There was no statistically significant difference in age, BMI, MET scores and SWV values between males and females (p=0.349, p=0.537, p=0.923 and p=0.578, respectively). The mean thickness of Achilles tendon was found statistically significantly higher in males than females (4.47±0.41 mm and 4.03±0.44 mm, respectively) (p=0.001). Conclusion: The effect of gender on Achilles tendon elastic property is not a significant covariate in the young, healthy population. Muscle strength might play a more important role in Achilles tendon injury rather than tendon elasticity.

Sonoelastographic Assessment of the Gender Related Changes of Achilles the Tendon