Injuries caused during military duty and leisure sport activity

Sammito, Stefan; Gundlach, Nils; Böckelmann, Irina

doi:10.3233/wor-162294

Cited by 6 publications

(2 citation statements)

References 16 publications

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“…Of the 91 studies included, 5 studies were scored as level I evidence 13–17. Forty-two studies were level II evidence 1 3 4 9 11 18–54. Forty-two studies were level III,2 5–8 10 12 54–89 and 2 studies were level IV 90 91.…”

Section: Resultsmentioning

confidence: 99%

Worldwide epidemiology of foot and ankle injuries during military training: a systematic review

et al. 2020

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IntroductionMusculoskeletal foot and ankle injuries are commonly experienced by soldiers during military training. We performed a systematic review to assess epidemiological patterns of foot and ankle injuries occurring during military training.MethodsA review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search, done on 14 February 2019, resulted in 1603 reports on PubMed, 565 on Embase and 3 on the Cochrane Library. After reading the remaining full-text articles, we included 91 studies.ResultsAmong a population of 8 092 281 soldiers from 15 countries, 788 469 (9.74%) foot and ankle injuries were recorded. Among the 49 studies that reported on length of training, there were 36 770/295 040 (18.17%) injuries recorded among women and 248 660/1 501 672 (16.56%) injuries recorded among men over a pooled mean (±SD) training period of 4.51±2.34 months. Ankle injuries were roughly 7 times more common than foot injuries, and acute injuries were roughly 24 times more common than non-acute injuries. Our findings indicated that, during a 3-month training period, soldiers have a 3.14% chance of sustaining a foot and ankle injury. The incidence of foot or ankle injury during military parachutist training was 3.1 injuries per thousand jumps.ConclusionsOur findings provide an overview of epidemiological patterns of foot and ankle injuries during military training. These data can be used to compare incidence rates of foot and ankle injuries due to acute or non-acute mechanisms during training. Cost-effective methods of preventing acute ankle injuries and non-acute foot injuries are needed to address this problem.

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Section: Resultsmentioning

confidence: 99%

Worldwide epidemiology of foot and ankle injuries during military training: a systematic review

et al. 2020

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“…Military personnel participate in physical activity to improve physical fitness. Musculoskeletal injuries (MSI) are an unfortunate consequence of physical activity, including military training1 2 and sports 3 4. MSI are an important concern in military populations,5–7 including Special Operations Forces,8–10 and can result in pain and morbidity,11 healthcare utilisation,6 loss of tactical readiness,5 12 disability,13 financial cost14–16 and attrition from the military 17…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of musculoskeletal injuries among US Air Force Special Tactics Operators: an economic cost perspective

Lovalekar

Johnson

Eagle

et al. 2018

BMJ Open Sport Exerc Med

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ObjectivesMusculoskeletal injuries (MSI) are an important concern in military populations. The purpose of this study was to describe the burden of MSI and associated financial cost, in a sample of US Air Force Special Operations Command Special Tactics Operators.MethodsIn this cross-sectional study, medical records of the Operators were reviewed during the years 2014–2015. MSI that occurred during a 1-year period prior to the date of review were described. MSI attributes described included incidence, anatomic location, cause, activity when MSI occurred, type and lifetime cost of MSI estimated using the Web-based Injury Statistics Query and Reporting System.ResultsA total of 130 Operators participated in the study (age: 29.1±5.2 years). The 1-year cumulative incidence of MSI was 49.2 injured Operators/100 Operators/year. The most frequent anatomic location and sublocation for MSI were the lower extremity (40.9% of MSI) and shoulder (20.9%), respectively. Lifting was a common cause of MSI (21.8%). A large per cent of MSI (55.5%) occurred while Operators were engaged in either physical or tactical training. Common MSI types were pain/spasm/ache (44.5%). Many MSI (41.8%) were classified as potentially preventable by an injury prevention training programme. The total lifetime cost of these MSI was estimated to be approximately US$1.2 million.ConclusionMSI are an important cause of morbidity and financial cost in this sample of Air Force Special Tactics Operators. There is a need to develop a customised injury prevention programme to reduce the burden and cost of MSI in this population.

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Profiles After Acute Traumatic Injury: The Non-battle Injury Impact on Readiness at a Single Military Treatment Facility

et al. 2021

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Introduction Physical profiling is critical to the individual medical readiness of all military service members. This classification system provides detailed information about an individual’s functional abilities. Profile information is used in determining whether a service member is medically deployable or non-deployable. Limited research has been conducted on the impact of acute traumatic injuries on duty status and profiles in the non-deployed setting. The purpose of this study was to characterize injured service members presenting to a CONUS MTF emergency department whose acute traumatic injury resulted in a profile. Materials and Methods A retrospective review of patients who presented to the Dwight D. Eisenhower Army Medical Center emergency department with traumatic injuries from January 1, 2019, to December 31, 2019, was performed. Patients were identified by searching electronic encounter records for trauma-specific ICD-10 codes. Returned patient records were then reviewed for active duty status, branch, age, gender, rank, mechanism, protective equipment, substance use, procedures, and disposition. Profiles of soldiers were reviewed for indication and duration. Patients with profiles were compared to those without profiles. Correlation with age was determined by t-test, correlation with profile length was determined by ANOVA, and correlation with the remaining categorical variables was determined with chi-squared analysis. Results Eight hundred and thirty-two service members were reviewed. One hundred and eight (13%) soldiers had a profile. Patients were 23.2% female with no difference between the two groups. Patients were an average of 28.7 years old. The most common mechanisms were physical training (PT) (33.1%) and falls (12.9%). Physical training and motor vehicle collisions were more common in the profile group. Combatives and crush injuries of the hand were less common in the profile group. Major procedures were more common in the profile group, and minor procedures were less common. Admissions, quarters, immediate referrals, and release without limitations were more common in the profile group. The mean duration of profiles was 48.9 days, and 7.4% were permanent. Conclusions Non-battle injuries in the garrison setting are a significant threat to readiness. This analysis of acute traumatic injuries suggests that mechanism of injury was similar to previous reports with PT and falls being most common. Interventions should be targeted at PT and motor vehicle collisions as these were more common in the profile group. This series is also similar to previous reports that extremity injuries are the most common cause of profiles. However, TBIs were more common in our analysis. Further research that encompasses all garrison MTF acute traumatic injuries is needed to define the true impact on readiness and guide development of injury prevention strategies.

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Injuries caused during military duty and leisure sport activity

Abstract: Duty and leisure time sport mainly caused injuries to the lower limb. These injuries caused long absence from duty. Therefore, profound knowledge of physical examination, medical treatment and rehabilitation is necessary for the military physician in order to provide an adequate therapy.

Cited by 6 publications

References 16 publications

Worldwide epidemiology of foot and ankle injuries during military training: a systematic review

Worldwide epidemiology of foot and ankle injuries during military training: a systematic review

Epidemiology of musculoskeletal injuries among US Air Force Special Tactics Operators: an economic cost perspective

Profiles After Acute Traumatic Injury: The Non-battle Injury Impact on Readiness at a Single Military Treatment Facility

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