Incidence Rate and Results of the Surgical Treatment of Pectoralis Major Tendon Ruptures in Active-Duty Military Personnel

Background: Pectoralis major tendon ruptures are commonly described as rare injuries affecting men between 20 and 40 years of age, with generally excellent results after surgical repair. However, this perception is based on a relatively small number of case series and prospective studies in the orthopaedic literature. Purpose: To determine the incidence of pectoralis major tendon ruptures in the active-duty military population and the demographic risk factors for a rupture and to describe the outcomes of surgical treatment. Study Design: Case control study; Level of evidence, 3. Methods: We utilized the Military Health System Data Repository (MDR) to identify all active-duty military personnel surgically treated for a pectoralis major tendon rupture between January 2012 and December 2014. Electronic medical records were searched for patients’ demographic information, injury characteristics, and postoperative complications and outcomes. Risk factors for a rupture were calculated using Poisson regression, based on population counts obtained from the MDR. Risk factors for a postoperative complication, the need for revision surgery, and the inability to continue with active duty were determined using univariate analysis and multivariate logistic regression. Results: A total of 291 patients met inclusion criteria. The mean patient age was 30.5 years, all patients were male, and the median follow-up period was 18 months. The incidence of injuries was 60 per 100,000 person-years over the study period. Risk factors for a rupture included service in the Army, junior officer or junior enlisted rank, and age between 25 and 34 years. White race and surgery occurring >6 weeks after injury were significant risk factors for a postoperative complication. Among the 214 patients with a minimum of 12 months’ clinical follow-up, 95.3% were able to return to military duty. Junior officer/enlisted status was a significant risk factor for failure to return to military duty. Conclusion: Among military personnel, Army soldiers and junior officer/enlisted rank were at highest risk of pectoralis major tendon ruptures, and junior personnel were at highest risk of being unable to return to duty after surgical treatment. Although increasing time from injury to surgery was not a risk factor for treatment failure or inability to return to duty, it did significantly increase the risk of a postoperative complication.

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Associations between sleep difficulties and risk factors for cardiovascular disease in veterans and active duty military personnel of the Iraq and Afghanistan conflicts

Journal of Behavioral Medicine ◽

10.1007/s10865-015-9627-4 ◽

2015 ◽

Vol 38 (3) ◽

pp. 544-555 ◽

Cited By ~ 7

Author(s):

Christi S. Ulmer ◽

◽

Hayden B. Bosworth ◽

Anne Germain ◽

Jennifer Lindquist ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Military Personnel ◽

Active Duty ◽

Active Duty Military ◽

Sleep Difficulties

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Maxillomandibular Advancement as Surgical Treatment for Obstructive Sleep Apnea in Active Duty Military Personnel: A Retrospective Cohort

Military Medicine ◽

10.7205/milmed-d-12-00172 ◽

2012 ◽

Vol 177 (11) ◽

pp. 1387-1392 ◽

Cited By ~ 9

Author(s):

Marc M. Serra ◽

David Greenburg ◽

Megan Barnwell ◽

David Fallah ◽

Karen Keith ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Surgical Treatment ◽

Sleep Apnea ◽

Military Personnel ◽

Retrospective Cohort ◽

Active Duty ◽

Maxillomandibular Advancement ◽

Active Duty Military ◽

Obstructive Sleep

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Risk factors for low back pain in active military personnel: a systematic review

Chiropractic & Manual Therapies ◽

10.1186/s12998-021-00409-x ◽

2021 ◽

Vol 29 (1) ◽

Author(s):

Daphne To ◽

Mana Rezai ◽

Kent Murnaghan ◽

Carol Cancelliere

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Cohort Studies ◽

Military Personnel ◽

Physical Training ◽

Musculoskeletal Injury ◽

Active Duty ◽

Low Back ◽

Active Duty Military

Abstract Purpose Low back pain (LBP) is prevalent in military personnel. We aimed to systematically review the literature regarding risk factors for first-time LBP during military service among active duty military personnel. Methods We searched six electronic databases (inception-April 2020) for randomised controlled trials, cohort studies, and case–control studies published in English in peer-reviewed journals. Eligible studies were independently critically appraised by paired reviewers and a descriptive synthesis was conducted. Results We screened 1981 records, reviewed 118 full-text articles, and synthesised data from eight acceptable quality cohort studies. Studies assessed physical (n = 4), sociodemographic (n = 2), and/or occupational factors (n = 5) associated with LBP. Two studies reported prior LBP was associated with a greater than twofold increased risk of LBP compared to those without prior LBP. Other factors consistently associated with LBP included previous musculoskeletal injury (n = 2), less time spent on physical training (n = 2), female sex (n = 2), and lower rank (n = 2). Factors associated with LBP from single studies included marital status, lower education level, blast injury, job duties, and service type. We found inconsistent associations for performance on physical fitness tests, age, and occupation type. Psychological risk factors were not assessed in any included studies. Conclusion In active duty personnel, prior history of LBP, previous musculoskeletal injury, less time in physical training, female sex, and lower rank were consistent risk factors for LBP. This information is relevant for researchers, active duty military personnel, and other decision makers. Future studies should explore causal relationships for LBP in this population. PROSPERO registration number: CRD42018084549.

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Relationship between plasma high-sensitivity c-reactive protein and traditional cardiovascular risk factors among active-duty military personnel in Republic of Serbia

Vojnosanitetski pregled ◽

10.2298/vsp210122030r ◽

2021 ◽

pp. 30-30

Author(s):

Nenad Ratkovic ◽

Milena Pandrc ◽

Vitomir Peric ◽

Maja Stojanovic ◽

Nemanja Rancic

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Military Personnel ◽

High Sensitivity ◽

Active Duty ◽

C Reactive Protein ◽

Score System ◽

Reactive Protein ◽

Active Duty Military ◽

Hs Crp

Background/Aim. Approximately one third of individuals with no or one risk factor, as well as 40% individuals with concentraction of cholesterol less than average die from cardiovascular disease (CVD). Recent study underlined significant role of inflammation in atherosclerosis and its complications. Our study is the first one in Serbia which have for the aim that analyses the association of high-sensitivity C-reactive protein (hs-CRP) with traditional risk factors for coronary heart disease. Metods: This study is observational cross-sectional study which included 205 active-duty military personnel similar socioepidemiological and economic characteristics. Plasma high-sensitivity C-reactive protein (hs-CRP) and traditional cardiovascular risk factors were evaluated. The relative cardiovascular risk was staged as low (hs-CRP <1mg/L), intermediate (hs-CRP between 1 and 3mg/L) and high (hs-CRP >3mg/L). The Systematic COronary Risk Evaluation (SCORE) system was used for absolute cardiovascular risk assessment, and total risk (fatal and non-fatal events). Results: Our study included 205 participants, average age of 39 (35-43) years, with median and interquartile range values of hs-CRP 0.80 mg/L (0.43-1.75), with average hs-CRP values 0.71mg/L in the youngers than 40 years and 1.2 mg/L in the olders. Between the study groups the significant diferrence in hsCRP-a values was registrated; hs-CRP was significantly higher in the group older than 40 years ( p=0.006). There was a significant positive correlation between hsCRP and age (r=0.266, p<0.001); weight (r=0.223 p=0.001), body mass index (BMI) (r=0.344, p<0.001), diastolic hypertension (r=0.190, p=0.007), LDL cholesterol (r=0.152, p=0.032), triglycerides (r=0.144, p=0.039), number of risk factors (r=0.210, p<0.003), as well as negative correlation with HDL cholesterol concentration (r=-0.159, p<0.023). There was no significant correlation between hsCRP concentration and total cholesterol (r=0.131, p=0.062). According to hs-CRP values, high CV risk was found in 17.7% participants older than 40 years, and based on SCORE system staging, 90% participants have intermmediate CV risk. The results of stepwise multiple regression analyses showed that BMI was independently associated with hsCRP concentration in the group younger than 40 years. Among the olders, age was found to be associated with fibrinogen values. Conclusions. In the population of active military personnel in the Republic of Serbia, hs-CRP is correlated with some of the risk factors for CVD, and only BMI is independently 4 correlated with hs-CRP in those under 40 years of age. Levels of serum hs-CRP are increased with aging, imply that hs-CRP measurement may provide a more accurate assessment of the individual overall risk profile for CVD in the Serbian military personnel population.

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