Musculoskeletal Injuries Description of an Under-Recognized Injury Problem Among Military Personnel
Musculoskeletal Injuries Description of an Under-Recognized Injury Problem Among Military Personnel
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DOI：
10.1016/j.amepre.2009.10.021
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发表时间：
2010-01-01
影响因子：
5.5
通讯作者：
Canada, Sara
中科院分区：
文献类型：
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作者：
Hauret, Keith G.;Jones, Bruce H.;Canada, Sara
简介：虽然受伤被认为是军队中的主要健康问题，但如果只考虑急性创伤，问题的规模就被低估了。在这个年轻的活跃人群中，与伤害相关的肌肉骨骼疾病很常见。其中许多涉及在娱乐，体育，培训和工作表现中的微创伤（过度使用）造成的身体损伤。这项分析的目的是确定受伤相关的肌肉骨骼条件在军事服务（2006年）的发病率，并描述了一个标准化的格式，在其中进行分类和reportingthemes.Methods：在以前的军事调查中发现受伤相关的肌肉骨骼诊断的子集被确定。2006年未部署的现役军人的肌肉骨骼损伤是从军事医疗监测数据中确定的。使用矩阵按损伤类型和身体部位报告和分类这些疾病。结果：2006年有743，547例与损伤相关的肌肉骨骼疾病（门诊和住院合并），包括主要和非主要诊断。在矩阵中，82%的损伤相关肌肉骨骼疾病被归类为炎症/疼痛（过度使用），其次是关节紊乱（15%）和应力性骨折（2%）。膝盖/小腿（22%），腰椎（20%），和脚踝/脚（13%）是领先的身体区域categorization.Conclusions：当评估在军事服务的伤害问题的严重性，损伤相关的肌肉骨骼条件应包括在内。当这些伤害与急性创伤相结合时，每年有近160万起与伤害有关的医疗事故。该矩阵提供了一个标准化的格式来对这些伤害进行分类，随着时间的推移进行比较，并将预防工作集中在主要伤害类型和/或身体部位。(Am J Prev Med 2010; 38（1S）：S61-S70）由Elsevier Inc.出版。代表美国预防医学杂志
Introduction: Although injuries are recognized as a leading health problem in the military, the size of the problem is underestimated when only acute traumatic injuries are considered. Injury-related musculoskeletal conditions are common in this young, active Population. Many of these involve physical damage caused by micro-trauma (overuse) in recreation, sports, training, and job performance. The purpose of this analysis was to determine the incidence of injury-related musculoskeletal conditions in the military services (2006) and describe a standardized format in which to categorize and report them.Methods: The Subset of musculoskeletal diagnoses found to be injury-related in previous military investigations was identified. Musculoskeletal injuries among nondeployed, active duty service members in 2006 were identified from military medical surveillance data. A matrix was used to report and categorize these conditions by injury type and body region.Results: There were 743,547 injury-related musculoskeletal conditions in 2006 (Outpatient and inpatient, combined), including primary and nonprimary diagnoses. In the matrix, 82% of injury-related musculoskeletal conditions were classified as inflammation/pain (overuse), followed by joint derangements (15%) and stress fractures (2%). The knee/lower leg (22%), lumbar spine (20%), and ankle/foot (13%) were leading body region categories.Conclusions: When assessing the magnitude of the injury problem in the military services, injury-related musculoskeletal conditions should be included. When these injuries are combined with acute traumatic injuries, there are almost 1.6 million injury-related medical encounters each year. The matrix provides a standardized format to categorize these injuries, make comparisons over time, and focus prevention efforts on leading injury types and/or body regions. (Am J Prev Med 2010;38(1S):S61-S70) Published by Elsevier Inc. on behalf of American journal of Preventive Medicine