scholarly journals Stress Fracture Tibia among Military Recruits Management by Patellar Tendon Bearing Cast

2020 ◽  
Vol 15 (2) ◽  
pp. 196-199
Author(s):  
Mohammad Shahnewaz Hossain Khan ◽  
Rezaul Karim ◽  
SM Eqbal ◽  
Abdullah Masum ◽  
ASM Kowser
Keyword(s):  
Patellar Tendon ◽  
Stress Fracture ◽  
Depressive Disorders ◽  
Military Training ◽  
Military Hospital ◽  
Simple Method ◽  
Excellent Outcome ◽  
Military Recruits ◽  
Fracture Tibia ◽  
Rehabilitation Time

Introduction: Lower limb overuse injuries are common features of military training. Female recruits have significantly higher incidence of fracture than male recruits. In addition to the cost and time of rehabilitation, injury leads to disillusionment among recruits. Conventionally stress fracture tibia is treated with long leg posterior cast for 6-8 weeks but little is known about the length of time required for rehabilitation and to return to pre-injury level. Objectives: To see the outcome of management of stress fracture tibia among military recruits treated with Patellar Tendon Bearing (PTB) cast for 8 weeks and to find out the rehabilitation time to return to pre-injury level. Materials and Methods: This prospective study was conducted in Combined Military Hospital, Bogura, Bangladesh, from January 2015 to December 2016. Out of 2600 recruits 74 (male 60 females 14) were diagnosed as case of stress fracture tibia during the period. They were treated by PTB cast for 08 weeks and their treatment and rehabilitation to pre-injury level (follow-up) were recorded prospectively. Results: Total 85 patients were clinically suspected to have stress fracture tibia, out of them 74(87.06%) patients were finally diagnosed as case of stress fracture. Of these 74 patients 44(59.46%) were diagnosed by initial x-ray and 30(40.54%) were diagnosed by MRI scan. Prevalence of stress fracture in male was 2.45% and in female recruits 9.33%, overall prevalence was 2.85%.About 56(75.67%) patients developed stress fracture in 0-8 weeks of training, mean rehabilitation time to return to pre-injury level was 15.51 weeks, there was no recurrence of stress fracture and all the patients completed 12 months training, none of them was relegated or withdrawn from training on medical ground. Conclusion:Patellar tendon bearing cast is an effective, technically simple method for treating stress fracture of tibia in military recruits with excellent outcome. This method not only treats the fracture but also prevents depressive disorders. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 196-199

Delay in Diagnosis of Neck of Femur Stress Fracture in a Female Military recruit.

2012 ◽  
Vol 98 (2) ◽  
pp. 27-30
Author(s):  
R Thomas ◽  
AM Wood ◽  
J Watson ◽  
CHC Arthur ◽  
AM Nicol
Keyword(s):  
Stress Fracture ◽  
Military Training ◽  
Stress Fractures ◽  
High Morbidity ◽  
Neck Of Femur ◽  
Military Recruit ◽  
Delay In Diagnosis ◽  
Military Recruits ◽  
Training Stress

AbstractWe report the delay in diagnosis of a Neck of Femur (NOF) stress fracture in mixed sex basic military training. Stress fractures are common in military training with the incidence reported as ranging between 3.2-31%. NOF stress fractures, whilst only representing around 8% of stress fractures are associated with a high morbidity. It is imperative that medical officers looking after military recruits have a sound knowledge of the potential signs, symptoms and presentation of these injuries. Medical officers should always remains vigilant for stress fractures especially in mixed military training.

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 INCIDENCE OF STRESS FRACTURE IN MILITARY RECRUITS: DOES MODIFICATION OF TRAINING PROGRAMME REDUCE THE INCIDENCE?

2020 ◽  
pp. 126-128
Author(s):  
PMP Singh ◽  
Hrishikesh Pande
Keyword(s):  
Stress Fracture ◽  
Military Training ◽  
Training Programme ◽  
Stress Fractures ◽  
Chi Square ◽  
Military Recruits ◽  
Novel Method ◽  
One Year

Introduction: Stress fracture though easily preventable is often neglected . Objectives 1. To assess whether modification of the training programme reduces the incidence of stress fracture among recruits . Results The average incidence of stress fracture from 01 Jul 2000 to 30 Jun 2004 was 36.10 per 1000, while after modification of the training programme it was 24.96 per 1000. This reduction in incidence of stress fracture was found to be statistically significant. Chi square value is 17.87, (p<0.001) Discussion Several studies on prevention of stress fractures in basic military training have been conducted. Incidence of stress fracture may be reduced by modification of training schedules. Limitations Due to various constraints, the modified training programme could be implemented only for one year. What we already know? 1. The incidence of stress fracture and various modalities of reduction in incidence of stress fracture in military recruits are known in military recruits What this article adds? 1. This article add a novel method of reduction in incidence of stress fracture in military recruits.

scholarly journals Teriparatide and stress fracture healing in young adults (RETURN – Research on Efficacy of Teriparatide Use in the Return of recruits to Normal duty): study protocol for a randomised controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Alexander T. Carswell ◽  
Katharine G. Eastman ◽  
Anna Casey ◽  
Matthew Hammond ◽  
Lee Shepstone ◽  
...  
Keyword(s):  
Fracture Healing ◽  
Stress Fracture ◽  
Standard Care ◽  
Military Training ◽  
Physical Rehabilitation ◽  
Lower Body ◽  
Link Type ◽  
Radiological Healing ◽  
Randomised Controlled ◽  
Army Recruits

Abstract Background Stress fractures are a common and potentially debilitating overuse injury to bone and occur frequently among military recruits and athletes. Recovery from a lower body stress fracture typically requires several weeks of physical rehabilitation. Teriparatide, a recombinant form of the bioactive portion of parathyroid hormone (1–34 amino acids), is used to treat osteoporosis, prevent osteoporotic fractures, and enhance fracture healing due to its net anabolic effect on bone. The study aim is to investigate the effect of teriparatide on stress fracture healing in young, otherwise healthy adults undergoing military training. Methods In a two-arm, parallel, prospective, randomised controlled, intention-to-treat trial, Army recruits (n = 136 men and women, 18–40 years) with a magnetic resonance imaging (MRI) diagnosed lower body stress fracture (pelvic girdle, sacrum, coccyx, or lower limb) will be randomised to receive either usual Army standard care, or teriparatide and usual Army standard care. Teriparatide will be self-administered by subcutaneous injections (20 μg/day) for 16 weeks, continuing to 24 weeks where a fracture remains unhealed at week 16. The primary outcome will be the improvement in radiological healing by two grades or more, or reduction to grade zero, 8 weeks after randomisation, assessed using Fredericson grading of MRI by radiologists blind to the randomisation. Secondary outcomes will be time to radiological healing, assessed by MRI at 8, 10, 12, 14, 16, 20 and 24 weeks, until healed; time to clinical healing, assessed using a clinical severity score of injury signs and symptoms; time to discharge from Army physical rehabilitation; pain, assessed by visual analogue scale; health-related quality of life, using the Short Form (36) Health Survey; and adverse events. Exploratory outcomes will include blood and urine biochemistry; bone density and morphology assessed using dual-energy X-ray absorptiometry, peripheral quantitative computed tomography (pQCT), and high-resolution pQCT; physical activity measured using accelerometers; and long-term future fracture rate. Discussion This study will evaluate whether teriparatide, in addition to standard care, is more effective for stress fracture healing than standard care alone in Army recruits who have sustained a lower body stress fracture. Trial registration ClinicalTrials.govNCT04196855. Registered on 12 December 2019.

Premorbid Cognitive and Behavioral Functioning in Military Recruits Experiencing the First Episode of Psychosis

CNS Spectrums ◽  
2004 ◽  
Vol 9 (8) ◽  
pp. 604-606 ◽  
Author(s):  
Mihai D. Gheorghe ◽  
Alexandrina Baloescu ◽  
Gabriela Grigorescu
Keyword(s):  
Personality Traits ◽  
Young Male ◽  
Geographic Area ◽  
Military Hospital ◽  
First Episode ◽  
Schizophreniform Disorder ◽  
Military Recruits ◽  
Behavioral Abnormalities ◽  
Male Patients ◽  
Apparently Healthy

ABSTRACTObjective:To characterize the premorbid cognitive and behavioral abilities in apparently healthy adolescents who at a later time will be diagnosed with schizophreniform disorder or schizophrenia.Background:Clarifying the pathological relationship between subtle intellectual and behavioral abnormalities and disease could provide markers for the early prediction of future psychosis.Method:Premorbid data on young male patients admitted to the Department of Psychiatry of the Central Military Hospital in Bucharest, Romania, between 1996 and 2002 and diagnosed with a first episode of psychosis or schizophreniform disorder were collected. The premorbid data consisted in the test scores of intellectual functioning and personality traits were collected by the Romanian Draft Board in order to assesses their aptitude to serve in the military. Premorbid cognitive and behavioral scores of male patients (cases=157) were compared with the scores of healthy male individuals (non-cases=169) matched for age, education, and geographic area of residence. The tests were administered when subjects were 18 years of age (initial screening) and the entire assessment was completed and concluded when subjects reached 20 years of age (actual conscription).Results:As a group, apparently healthy males later admitted for a first episode of psychosis or schizophreniform disorder, obtained lower (worse) scores on the Raven Progressive Matrices test and on relevant personality traits in comparison to controls.Conclusions:The results add to the accumulating body of evidence suggesting that aspects of schizophrenia manifest years before the illness is formally diagnosed. Despite these results, more studies are needed to improve the diagnosing specificity and predictive value of the premorbid cognitive and behavioral manifestations, before they can be used as markers in models of primary or secondary prevention.

The Incidence of Overuse Injuries in Military Recruits during Basic Military Training

1994 ◽  
Vol 159 (6) ◽  
pp. 421-426 ◽  
Author(s):  
Gerhard Jordaan ◽  
Martin P. Schwellnus
Keyword(s):  
Military Training ◽  
Overuse Injuries ◽  
Military Recruits

scholarly journals Self-reported eating behaviors of military recruits are associated with body mass index at military accession and change during initial military training

Appetite ◽  
2019 ◽  
Vol 142 ◽  
pp. 104348 ◽  
Author(s):  
Heather S. Fagnant ◽  
Nicholes J. Armstrong ◽  
Laura J. Lutz ◽  
Anna T. Nakayama ◽  
Katelyn I. Guerriere ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Eating Behaviors ◽  
Military Training ◽  
Military Recruits

A Prospective Study of the Effect of a Shock-Absorbing Orthotic Device on the Incidence of Stress Fractures in Military Recruits

Foot & Ankle ◽  
1985 ◽  
Vol 6 (2) ◽  
pp. 101-104 ◽  
Author(s):  
C. Milgrom ◽  
M. Giladi ◽  
H. Kashtan ◽  
A. Simkin ◽  
R. Chisin ◽  
...  
Keyword(s):  
High Risk ◽  
Prospective Study ◽  
Stress Fracture ◽  
Stress Fractures ◽  
Orthotic Device ◽  
Military Recruits ◽  
A Prospective Study

In a prospective study of stress fractures the hypothesis that a shock-absorbing orthotic device worn within military boots could lessen the incidence of stress fractures was tested. The incidence of metatarsal, tibial, and femoral stress fractures was lower in the orthotic group, but only the latter difference was statistically significant. The time of onset and the location of stress fractures between orthotic and nonorthotic users did not differ. These findings suggest that the incidence of femoral stress fractures, which are the most dangerous type of stress fracture because of their high risk of developing into displaced fractures, can be reduced by an orthotic device.

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