Epidemiology of Lower Extremity Stress Fractures in the United States Military.
Purpose: To comprehensively quantify established risk factors for the development of lower extremity stress fractures within a contemporary U.S. military cohort.Methods: Using the Defense Medical Epidemiological Database, all U.S. service members diagnosed with tibia/fibula, metatarsal, other bone,...
| Publicado en: | Military Medicine Vol. 181; no. 10; pp. 1308 - 1314 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Oxford University Press / USA
Oct2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118735424&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 118735424 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00264075 4DV jtl: Military Medicine issn: 00264075 maglogo: N pubinfo: dt: Oct2016 vid: 181 iid: 10 pid: 622 pub: Oxford University Press / USA artinfo: ui: 118735424 118735424 NLM27753569 10.7205/MILMED-D-15-00571 NLM27753569 118735424 ppf: 1308 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Epidemiology of Lower Extremity Stress Fractures in the United States Military. aug: au: Waterman, Brian R. Gun, Baris Bader, Julia O. Orr, Justin D. Belmont, Philip J. Belmont, Philip J Jr affil: Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, 5005 N Piedras Street, El Paso, TX 79930. sug: subj: Military Personnel Statistics and Numerical Data Lower Extremity Injuries Fractures, Stress Epidemiology Adult United States Female Demography Incidence Population Male Adolescence Scales Adult: 19-44 years Adolescent: 13-18 years Female Male ab: Purpose: To comprehensively quantify established risk factors for the development of lower extremity stress fractures within a contemporary U.S. military cohort.Methods: Using the Defense Medical Epidemiological Database, all U.S. service members diagnosed with tibia/fibula, metatarsal, other bone, femoral neck, and femoral shaft stress fractures were identified based on International Classification of Diseases, 9th Revision, Clinical Modification code from 2009 to 2012. Incidence rates (IRs) and adjusted IRs controlling for sex, race, age, rank, and branch of service were obtained with multivariate Poisson regression analysis.Results: Between 2009 and 2012, 31,758 lower extremity stress fractures occurred among 5,580,875 person-years, for an unadjusted IR of 5.69 per 1,000 person-years. Tibial/fibular (40%) involvement was the most common. Bimodal age distribution revealed that service members under 20 years old (23.06; 95% confidence interval [CI] 22.52, 23.55) or ≥40 (6.86; 95% CI 6.65, 7.07) had greatest risk. Females were at higher risk for total lower extremity (3.11; 95% CI, 3.03, 3.18). White service members were also more at risk than Black service members (p < 0.0001). The majority of stress fractures (77.5%) occurred in junior enlisted service members, with the Army and Marines most at risk.Conclusion: This investigation elucidates several nonmodifiable risk factors for stress fractures in the military and may inform screening measures to reduce this significant source of disability. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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