Acute Achilles ruptures are regarded as very rare in the under-20 years’ old age group.Material and MethodsFour teenage elite gymnasts with five acute Achilles tendon ruptures are presented. The mean age at rupture was 18 years and 7 months. Three athletes were female and one male. Each was involved in high-level Gymnastics and underwent prompt open repair followed by an accelerated rehabilitation programme. Additionally a review of the literature in this area is presented.ResultsEach Gymnast returned to the same level and beyond following successful surgery and rehabilitation.ConclusionsTeenagers do sustain Achilles ruptures but appropriate management can allow them to pursue high levels of sporting attainment.