Musculoskeletal Injuries Description of an Under-Recognized Injury Problem Among Military Personnel

被引:246
作者
Hauret, Keith G. [1 ]
Jones, Bruce H. [1 ]
Bullock, Steven H.
Canham-Chervak, Michelle [1 ]
Canada, Sara [1 ]
机构
[1] USA, Ctr Hlth Promot & Prevent Med, Injury Prevent Program, Aberdeen Proving Ground, MD USA
关键词
CUMULATIVE TRAUMA DISORDERS; DATA-COLLECTION PROCEDURES; EXERCISE-RELATED INJURIES; WORKPLACE RISK-FACTORS; SURVEILLANCE SYSTEM; UPPER-LIMB; PSYCHOPHYSICAL RESEARCH; BASKETBALL INJURIES; CONSENSUS STATEMENT; TRAINING-PROGRAM;
D O I
10.1016/j.amepre.2009.10.021
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction: Although injuries are recognized as a leading health problem in the military, the size of the problem is underestimated when only acute traumatic injuries are considered. Injury-related musculoskeletal conditions are common in this young, active Population. Many of these involve physical damage caused by micro-trauma (overuse) in recreation, sports, training, and job performance. The purpose of this analysis was to determine the incidence of injury-related musculoskeletal conditions in the military services (2006) and describe a standardized format in which to categorize and report them. Methods: The Subset of musculoskeletal diagnoses found to be injury-related in previous military investigations was identified. Musculoskeletal injuries among nondeployed, active duty service members in 2006 were identified from military medical surveillance data. A matrix was used to report and categorize these conditions by injury type and body region. Results: There were 743,547 injury-related musculoskeletal conditions in 2006 (Outpatient and inpatient, combined), including primary and nonprimary diagnoses. In the matrix, 82% of injury-related musculoskeletal conditions were classified as inflammation/pain (overuse), followed by joint derangements (15%) and stress fractures (2%). The knee/lower leg (22%), lumbar spine (20%), and ankle/foot (13%) were leading body region categories. Conclusions: When assessing the magnitude of the injury problem in the military services, injury-related musculoskeletal conditions should be included. When these injuries are combined with acute traumatic injuries, there are almost 1.6 million injury-related medical encounters each year. The matrix provides a standardized format to categorize these injuries, make comparisons over time, and focus prevention efforts on leading injury types and/or body regions. (Am J Prev Med 2010;38(1S):S61-S70) Published by Elsevier Inc. on behalf of American journal of Preventive Medicine
引用
收藏
页码:S61 / S70
页数:10
相关论文
共 82 条
[1]  
Agel J, 2007, J ATHL TRAINING, V42, P270
[2]  
Agel J, 2007, J ATHL TRAINING, V42, P202
[3]   Prevalence of musculoskeletal disorders in dentists [J].
Alexopoulos, EC ;
Stathi, IC ;
Charizani, F .
BMC MUSCULOSKELETAL DISORDERS, 2004, 5 (1)
[4]   Epidemiological patterns of musculoskeletal injuries and physical training [J].
Almeida, SA ;
Williams, KM ;
Shaffer, RA ;
Brodine, SK .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1999, 31 (08) :1176-1182
[5]  
[Anonymous], 29HE751398 US ARM CT
[6]   Work-related musculoskeletal disorders of the upper limb [J].
Aptel, M ;
Aublet-Cuvelier, A ;
Cnockaert, JC .
JOINT BONE SPINE, 2002, 69 (06) :546-555
[7]  
*ARM FORC HLTH SUR, INST INJ REP
[8]  
*ARM FORC HLTH SUR, 2007, MED SURVEILLANCE MON, V14, P18
[9]   An introduction to the Barell body region by nature of injury diagnosis matrix [J].
Barell, V ;
Aharonson-Daniel, L ;
Fingerhut, LA ;
Mackenzie, EJ ;
Ziv, A ;
Boyko, V ;
Abargel, A ;
Avitzour, M ;
Heruti, R .
INJURY PREVENTION, 2002, 8 (02) :91-96
[10]  
Bennell K L, 1996, Aust J Sci Med Sport, V28, P69