scholarly journals Paper 18: Stress Fractures in Female Border Police Recruits During Basic Training

2012 ◽  
Vol 28 (9) ◽  
pp. e345
Author(s):  
Gideon Mann ◽  
Foldes A. Joseph ◽  
Meir Nyska ◽  
Shay Shabat ◽  
Iftach Hetsroni ◽  
...  
Keyword(s):  
Stress Fractures ◽  
Basic Training ◽  
Police Recruits

scholarly journals Comparison of Stress Fractures of Male and Female Recruits during Basic Training in the Israeli Anti-Aircraft Forces

2005 ◽  
Vol 170 (8) ◽  
pp. 710-712 ◽  
Author(s):  
Arnon Gam ◽  
Liav Goldstein ◽  
Yuval Karmon ◽  
Igor Mintser ◽  
Itamar Grotto ◽  
...  
Keyword(s):  
Stress Fractures ◽  
Basic Training ◽  
Male And Female

ULTRASONOGRAPHY AS A DIAGNOSTIC MODALITY OF TIBIAL STRESS FRACTURES

2008 ◽  
Vol 11 (02) ◽  
pp. 55-61 ◽  
Author(s):  
Uri Farkash ◽  
Javier Naftal ◽  
Estela Deranze ◽  
Alexander Blankstein
Keyword(s):  
Bone Scan ◽  
Imaging Modality ◽  
Case Reports ◽  
Stress Fractures ◽  
Surface Irregularity ◽  
Double Blind Study ◽  
Basic Training ◽  
Double Blind ◽  
Diagnostic Modality ◽  
Medicine Service

Tibial stress fractures (SFs) are a common orthopedic problem during military basic training. Bone scan is considered the gold standard for diagnosing this condition. Several case reports have described sonographic features of stress fractures. This is a prospective, double-blind study to compare diagnostic ultrasound (US) examination with isotope bone scan in diagnosing SF. Thirty-one soldiers who were referred to the nuclear medicine service for a bone scan to rule out tibial SF participated in this study. The SF lesions of the lower extremities were classified according to the classification criteria introduced by Zwas et al.20 US examination was performed on the same day. Areas of cortical thickening and other pathologies like bone surface irregularity and bone discontinuity were recorded. Each examination was graded as either normal or suggestive of representing a SF. Thirty of 62 tibiae were diagnosed as having SF according to bone scan, whereas US examination suggested SF in 35 tibiae. US examination was positive in 20 of 30 tibiae with SF (67% sensitivity, 53% specificity). Although US correctly diagnosed SF in 20 tibiae, bone scan remains the chosen imaging modality to detect SF in soldiers. US was not found to be a reliable modality to diagnose SF.

Epidemiology of podiatric injuries in US Marine recruits undergoing basic training

1992 ◽  
Vol 82 (5) ◽  
pp. 269-271 ◽  
Author(s):  
JM Linenger ◽  
AF Shwayhat
Keyword(s):  
At Risk ◽  
San Diego ◽  
Marine Corps ◽  
Stress Fractures ◽  
Ankle Sprains ◽  
Basic Training ◽  
Achilles Tendinitis

The authors determined the incidence of podiatric injuries that occurred during 233,946 recruit days at risk among US Marine Corps recruits undergoing basic training at the Marine Corps Recruit Depot, San Diego, CA, between February 5 and April 25, 1990. Training-related initial injuries to the foot occurred at a rate of 3.0 new injuries per 1,000 recruit days. The highest specific rates of injury occurred with stress fractures to the foot (0.56 per 1,000 recruit days), ankle sprains (0.53 per 1,000 recruit days), and Achilles tendinitis (0.39 per 1,000 recruit days).

scholarly journals Equipment Modification Is Associated With Fewer Stress Fractures in Female Israel Border Police Recruits

2010 ◽  
Vol 175 (10) ◽  
pp. 799-804 ◽  
Author(s):  
Naama Constantini ◽  
Aharon S. Finestone ◽  
Nir Hod ◽  
Idit Shub ◽  
Schmuel Heinemann ◽  
...  
Keyword(s):  
Stress Fractures ◽  
Police Recruits ◽  
Equipment Modification

scholarly journals Incidence and Time to Return to Training for Stress Fractures during Military Basic Training

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Alexander M. Wood ◽  
Richard Hales ◽  
Andre Keenan ◽  
Alexandra Moss ◽  
Michael Chapman ◽  
...  
Keyword(s):  
Stress Fracture ◽  
Military Training ◽  
Return To Sport ◽  
Stress Fractures ◽  
Basic Training ◽  
Military Population ◽  
Epidemiological Database ◽  
Recovery Times ◽  
Time Required ◽  
Rehabilitation Time

Currently, little is known about the length of time required to rehabilitate patients from stress fractures and their return to preinjury level of physical activity. Previous studies have looked at the return to sport in athletes, in a general population, where rehabilitation is not as controlled as within a captive military population. In this study, a longitudinal prospective epidemiological database was assessed to determine the incidence of stress fractures and the time taken to rehabilitate recruits to preinjury stage of training. Findings demonstrated a background prevalence of 5% stress fractures in Royal Marine training; femoral and tibial stress fractures take 21.1 weeks to return to training with metatarsal stress fractures being the most common injury taking 12.2 weeks. Rehabilitation from stress fractures accounts for 814 weeks of recruit rehabilitation time per annum. Stress fracture incidence is still common in military training; despite this stress fracture recovery times remain constant and represent a significant interruption in training. It takes on average 5 weeks after exercise specific training has restarted to reenter training at a preinjury level, regardless of which bone has a stress fracture. Further research into their prevention, treatment, and rehabilitation is required to help reduce these burdens.

scholarly journals Stress Fractures in Female Cadets in Bangladesh Naval Academy during Training

2016 ◽  
Vol 12 (1) ◽  
pp. 48-52
Author(s):  
Md Borhan Uddin ◽  
Md Anisur Rahman
Keyword(s):  
Armed Forces ◽  
Economic Loss ◽  
Cross Sectional Study ◽  
Stress Fractures ◽  
Naval Academy ◽  
Average Period ◽  
Basic Training ◽  
Cross Sectional ◽  
Full Activity ◽  
Early Return

Introduction: Stress fractures occur due to repetitive cumulative micro trauma on the bone over a period of time. These are common overuse injuries in military cadets and sports personnel during training. Stress fracture in female cadets is a rising cause of concern for its high prevalence. It increases morbidity, long term absence from training and significant economic loss. Objective: To find out the prevalence, time of occurrence and sites involved among the fresh female cadets during their basic training. Materials and Methods: A descriptive cross-sectional study was conducted during January 2011 to April 2017 in female cadets undergoing basic training at Bangladesh Naval Academy, Chittagong. A detailed history and physical assessment was performed of those presenting with pain, swelling or limping. Radiographic imagings were done to evaluate the symptoms. All cases of stress fractures were finally diagnosed on the basis of findings and were appropriately managed and followed up every two weeks till the time of union. Results: Eighteen cases out of 82 had clinical and radiological signs of stress fractures with an overall prevalence of 21.95%. Average age was 19 years (range 18-20). Highest prevalence was around 12 weeks of training. Common sites were tibia (40.90%), pelvis (40.90%) and fibula (9.09%). There was one metatarsal and one femoral neck fracture. All the fractures were treated conservatively and were healed in an average period of 7 weeks. All cadets returned to their full activity in an average period of ten weeks. Conclusion: Prevalence among the female naval cadets is high and probably underrated in this setting. For prevention, modifiable causes and risks factors must be evaluated and identified. A protractive approach for early detection and immediate management is indispensible to reduce the morbidity and early return to full activity. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 48-52

Distance travelled by military recruits during basic training is a significant risk factor for lower limb overuse injury

2020 ◽  
pp. bmjmilitary-2020-001445
Author(s):  
Richard S. Whittle
Keyword(s):  
Risk Factor ◽  
Lower Limb ◽  
Overuse Injury ◽  
Military Training ◽  
Stress Fractures ◽  
Overuse Injuries ◽  
Medial Tibial Stress Syndrome ◽  
Basic Training ◽  
Stress Syndrome ◽  
High Incidence

IntroductionMilitary initial training results in a high incidence of lower limb overuse injuries (stress fractures and medial tibial stress syndrome). This study aimed to determine whether the distance travelled by recruits, both on and off duty, was a risk factor for overuse injury.Methods14 male airborne infantry recruits from three training platoons carried global positioning system receivers throughout the first 19 weeks of basic military training. Total distance travelled each day was recorded. This was compared with time of clinical manifestation of 52 lower limb overuse injuries (stress fractures and medial tibial stress syndrome) collected from the 276 airborne infantry recruits in the period immediately preceding the study.ResultsRecruits travelled significantly farther than the UK average male population in 17 of 18 measured weeks. Pearson correlation between distance travelled per week and injuries was not significant (p=0.4448); however, correlation between distance travelled per week and injuries two weeks later was significant (p=0.0263). A generalised linear model found distance travelled as a significant covariate (p=0.0144) to the expected number of injuries two weeks later.ConclusionRecruits travel long distances during basic training, particularly in the first few weeks when they are not yet conditioned. This distance travelled is likely a contributing risk factor to the high incidence of overuse injuries seen during training, and strategies to reduce this distance should be explored.

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