Acute Pectoralis Major Tears in Forward Deployed Active Duty U.S. Military Personnel: A Population at Risk?

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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Acute pectoralis major tears in active duty US military personnel: Midterm outcomes of repairs performed in the forward-deployed setting

Journal of Orthopaedic Surgery ◽

10.1177/2309499019849800 ◽

2019 ◽

Vol 27 (2) ◽

pp. 230949901984980

Author(s):

Dane Salazar ◽

William Davis ◽

Irshad Shakir ◽

Keith Joe ◽

W Steven Choate

Keyword(s):

Military Personnel ◽

Active Duty ◽

Pectoralis Major ◽

Us Military

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Incidence and Risk Factors Associated with Meniscal Injuries Among Active-Duty US Military Service Members

Journal of Athletic Training ◽

10.4085/1062-6050-47.1.67 ◽

2012 ◽

Vol 47 (1) ◽

pp. 67-73 ◽

Cited By ~ 61

Author(s):

Jennifer C. Jones ◽

Robert Burks ◽

Brett D. Owens ◽

Rodney X. Sturdivant ◽

Steven J. Svoboda ◽

...

Keyword(s):

At Risk ◽

Incidence Rate ◽

Military Personnel ◽

Military Service ◽

Rate Ratio ◽

Incidence Rate Ratio ◽

Active Duty ◽

Meniscal Injury ◽

Factors Associated ◽

Active Duty Military

Context:Few population-based studies have examined the incidence of meniscal injuries, and limited information is available on the influence of patient's demographic and occupational factors.Objective:To examine the incidence of meniscal injuries and the influence of demographic and occupational factors among active-duty US service members between 1998 and 2006.Design:Cohort study.Setting:Using the International Classification of Diseases (9th revision) codes 836.0 (medial meniscus), 836.1 (lateral meniscus), and 836.2 (meniscus unspecified), we extracted injury data from the Defense Medical Surveillance System to identify all acute meniscal injuries among active-duty military personnel.Patients or Other Participants:Active-duty military personnel serving in all branches of military service during the study period.Main Outcome Measure(s):Incidence rate (IR) per 1000 person-years at risk and crude and adjusted rates by strata for age, sex, race, rank, and service.Results:During the study period, 100201 acute meniscal injuries and 12115606 person-years at risk for injury were documented. The overall IR was 8.27 (95% confidence interval [CI] = 8.22, 8.32) per 1000 person-years. Main effects were noted for all demographic and occupational variables (P< .001), indicating that age, sex, race, rank, and service were associated with the incidence of meniscal injuries. Men were almost 20% more likely to experience an acute meniscal injury than were women (incidence rate ratio = 1.18, 95% CI = 1.15, 1.20). The rate of meniscal injury increased with age; those older than 40 years of age experienced injuries more than 4 times as often as those under 20 years of age (incidence rate ratio = 4.25,95% CI = 4.08, 4.42).Conclusions:The incidence of meniscal injury was sub-stantially higher in this study than in previously reported studies. Male sex, increasing age, and service in the Army or Marine Corps were factors associated with meniscal injuries.

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Impact of Cognitive Processing Therapy on Suicide Risk Among Active Duty Military Personnel

PsycEXTRA Dataset ◽

10.1037/e533652013-253 ◽

2012 ◽

Author(s):

Tracy Clemans ◽

Craig Bryan ◽

Patricia Resick ◽

Katherine Dondanville ◽

Jennifer Schuster ◽

...

Keyword(s):

Cognitive Processing ◽

Military Personnel ◽

Suicide Risk ◽

Active Duty ◽

Cognitive Processing Therapy ◽

Active Duty Military

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Department of Defense Survey of Health Related Behaviors Among Active Duty Military Personnel: A Component of the Defense Lifestyle Assessment Program (DLAP)

PsycEXTRA Dataset ◽

10.1037/e645362011-001 ◽

2008 ◽

Cited By ~ 9

Author(s):

Robert M. Bray ◽

Michael R. Pemberton ◽

Laurel L. Hourani ◽

Michael Witt ◽

Kristine L. Rae Olmsted ◽

...

Keyword(s):

Military Personnel ◽

Department Of Defense ◽

Active Duty ◽

Assessment Program ◽

Active Duty Military ◽

Health Related Behaviors ◽

Health Related

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Cognitive behavioral therapy for insomnia among active duty military personnel.

Psychological Services ◽

10.1037/ser0000340 ◽

2019 ◽

Cited By ~ 1

Author(s):

Marquisha R. G. Lee ◽

Joshua Breitstein ◽

Timothy Hoyt ◽

Jason Stolee ◽

Tristin Baxter ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

Military Personnel ◽

Behavioral Therapy ◽

Active Duty ◽

Cognitive Behavioral ◽

Active Duty Military

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Supplemental Material for Residual Sleep Disturbances Following PTSD Treatment in Active Duty Military Personnel

Psychological Trauma Theory Research Practice and Policy ◽

10.1037/tra0000150.supp ◽

2016 ◽

Keyword(s):

Military Personnel ◽

Sleep Disturbances ◽

Active Duty ◽

Ptsd Treatment ◽

Active Duty Military

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Faculty Opinions recommendation of The international limits and population at risk of Plasmodium vivax transmission in 2009.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.5133959.14726297 ◽

2011 ◽

Author(s):

Patrick Duffy

Keyword(s):

At Risk ◽

Plasmodium Vivax ◽

Population At Risk

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Penyelidikan KLB keracunan makanan acara ruwahan di desa Mulo, Gunung Kidul provinsi DIY

Berita Kedokteran Masyarakat ◽

10.22146/bkm.37616 ◽

2018 ◽

pp. 1

Author(s):

Mur Prasetyaningrum ◽

Z. Chomariyah ◽

Trisno Agung Wibowo

Keyword(s):

At Risk ◽

Total Population ◽

Total Coliform ◽

Case Control ◽

P Value ◽

Common Source ◽

Population At Risk ◽

E Coli

Tujuan: Studi ini untuk mengetahui gambaran KLB keracunan pangan yang terjadi di desa Mulo menurut deskripsi epidemiologi, faktor risiko dan penyebab KLB keracunan makanan. Metode: Studi ini menggunakan studi analitik case control, dimana kasus adalah orang yang mengalami sakit pada tanggal 7 - 8 Mei 2017, tinggal di desa Mulo dan mengkonsumsi makanan olahan dari bapak S dan K. Instrument menggunakan kuesioner. Hasil: KLB terjadi di Desa Mulo RT 5 dan 6 dengan jumlah kasus sebanyak 18 orang dari total population at risk 112 orang dengan gejala utama diare (100%), mual (72,2%), demam (66,6%), pusing (66,6%) dan muntah (50%). Dari diagnosa banding menurut gejala, masa inkubasi dan agent penyebab keracunan, kecurigaan kontaminasi bakteri mengarah pada E. Coli (ETEC). Masa inkubasi 1-16 jam (rata-rata 9 jam) dan common source curve. Penyaji makanan ada dua (pak K dan pak S). Dari perhitungan AR, berdasarkan sumber makanan mengarah pada makanan dari pak S (AR=42,8%). Bedasarkan menu, perhitungan OR dan CI 95 % jenis makanan yang dicurigai sebagai penyebab KLB adalah urap/gudangan (OR=4,33; p value0,0071) dan sayur lombok (OR=6,31; p value 0,0071). Sampel yang didapatkan adalah sampel air bersih, feses, dan muntahan penderita, sampel makanan tidak didapatkan karena keterlambatan informasi dari masyarakat. Hasil laboratorium, Total Coliform sampel air bersih melebihi ambang batas, sampel feses dan muntahan mengandung bakteri Klebsiella pneumonia.Simpulan: Terdapat 3 (tiga) faktor yang diduga sebagai penyebab keracunan pada warga Desa Mulo yaitu air bersih untuk mengolah makanan tercemar bakteri patogen, pengolahan makanan tidak hygienis dan penyajian makanan pada suhu ruang lebih dari 1 jam.

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